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Organization
GOLDEN HILL NURSING AND REHAB LP
Active
Organization
GOLDEN HILL NURSING AND REHAB LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN D TACK (CEO)
(724) 431-0770
Entity
Organization
Contact information
Practice address
520 FRIENDSHIP ST, NEW CASTLE, PA 16101-4596
(724) 654-7791
(724) 654-7891
Mailing address
520 FRIENDSHIP ST, NEW CASTLE, PA 16101-4596
(724) 654-7791
(724) 654-7891
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
850302
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007452610001
—
PA
01
—
0600
HIGHMARK BLUE CROSS
—
01
—
1502705
GATEWAY HEALTH PLAN
PA
01
—
215867
UPMC HEALTH PLAN
—
01
—
25-1150339
HOP ADMINISTRATOR - PSERS
—
01
—
76398
ADVANTRA
—
Enumeration date
06/01/2005
Last updated
08/14/2014
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