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Organization
UPMC/HVHS CANCER CENTER
Active
Organization
UPMC/HVHS CANCER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES E BOGOSTA (VICE PRESIDENT)
(412) 692-2451
Entity
Organization
Contact information
Practice address
1000 DUTCH RIDGE RD, BEAVER, PA 15009-9727
(724) 773-7616
(724) 773-4673
Mailing address
2 HOT METAL ST, QUANTUM ONE, N430, PITTSBURGH, PA 15203-2348
(412) 432-7706
(412) 432-7691
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
095764
MEDICARE IDTF
PA
05
—
1008546250002
—
PA
01
—
1556237
HIGHMARK
PA
05
—
3810004028
—
WV
01
—
P00641712
RAILROAD MEDICARE IDTF
PA
Enumeration date
04/14/2006
Last updated
02/16/2009
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