# ALLEGHENY CLINIC

> 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
- **Other names:** AHN Braddock Primary Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639643208
- **Authorized official:** DENISE NOEL (DIRECTOR PROVIDER ENROLLMENT)
- **Authorized official phone:** (412) 330-5861

## Contact information

- **Practice address:** 501 BRADDOCK AVE, BRADDOCK, PA 15104-1856
- **Practice address phone:** (412) 636-5054
- **Practice address fax:** (412) 271-2361
- **Mailing address:** 501 BRADDOCK AVE, BRADDOCK, PA 15104-1856
- **Mailing address phone:** (412) 636-5054
- **Mailing address fax:** (412) 271-2361

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/17/2019
- **Last updated:** 01/17/2019