# CANONSBURG GENERAL HOSPITAL - SPU

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CANONSBURG GENERAL HOSPITAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1710007596
- **Legal business name:** CANONSBURG GENERAL HOSPITAL
- **Authorized official:** KIMBERLY MALINKY (CEO)
- **Authorized official phone:** (724) 873-5892

## Contact information

- **Practice address:** 100 MEDICAL BLVD, CANONSBURG, PA 15317-9762
- **Practice address phone:** (724) 745-6100
- **Practice address fax:** (724) 873-1116
- **Mailing address:** 100 MEDICAL BLVD, CANONSBURG, PA 15317-9762
- **Mailing address phone:** (724) 745-6100
- **Mailing address fax:** (724) 873-1116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 29530100 | PA | Yes |

## Other

- **Enumeration date:** 03/29/2007
- **Last updated:** 08/09/2007