# CANONSBURG GENERAL HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285249748
- **Authorized official:** ANDREW TISCH (DIRECTOR REIMBURSEMENT)
- **Authorized official phone:** (412) 330-6062

## Contact information

- **Practice address:** 100 MEDICAL BLVD FL 1, CANONSBURG, PA 15317-9762
- **Practice address phone:** (724) 745-6100
- **Mailing address:** 100 MEDICAL BLVD FL 1, CANONSBURG, PA 15317-9762
- **Mailing address phone:** (724) 745-6100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |
| 3336I0012X | Institutional Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/11/2020
- **Last updated:** 06/21/2024