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Organization
PRIMARY CARE GROUP 11, INC.
Active
Organization
PRIMARY CARE GROUP 11, INC.
Active
Parent organization
JEFFERSON REGIONAL MEDICAL CENTER
Other names
AHN Primary Care McMurray, JRMC McMurray
Organization subpart
Yes
Provider details
NPI number
Legal business name
JEFFERSON REGIONAL MEDICAL CENTER
Authorized official
DENISE NOEL (DIRECTOR PROVIDER ENROLLMENT)
(412) 770-6871
Entity
Organization
Contact information
Practice address
455 VALLEY BROOK RD, SUITE 300, MC MURRAY, PA 15317-3367
(724) 941-5588
(724) 941-1458
Mailing address
4 ALLEGHENY CTR FL 7, PITTSBURGH, PA 15212-5255
(412) 330-5861
(412) 330-5544
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS-003395-L
PA
207Q00000X
Family Medicine Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
MD018247E
PA
Other
Enumeration date
03/22/2010
Last updated
03/13/2023
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