# ALLEGHENY CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Primary Care Place
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790111706
- **Authorized official:** DENISE NOEL (DIRECTOR PROVIDER ENROLLMENT)
- **Authorized official phone:** (412) 330-5861

## Contact information

- **Practice address:** 333 ALLEGHENY AVE, SUITE 1, OAKMONT, PA 15139-2072
- **Practice address phone:** (412) 423-1048
- **Practice address fax:** (412) 828-7580
- **Mailing address:** 4 ALLEGHENY CTR FL 7, PITTSBURGH, PA 15212-5255
- **Mailing address phone:** (412) 330-5861
- **Mailing address fax:** (412) 330-5844

## Taxonomy

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

## Other

- **Enumeration date:** 09/23/2013
- **Last updated:** 11/06/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100731714 | — | PA |