Organization
PRESBYTERIAN MEDICAL CENTER OF OAKMONT PA INC
Active
Other names
The Willows of Presbyterian Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW MANGENE CPA (SENIOR VICE PRESIDENT OF FINANCE)
(412) 826-6081
Entity
Organization
Contact information
Practice address
1215 HULTON RD, OAKMONT, PA 15139-1135
(412) 828-5600
(412) 826-6121
Mailing address
1215 HULTON RD, OAKMONT, PA 15139-1135
(412) 828-5600
(412) 826-6121
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
161502
PA
314000000X
Skilled Nursing Facility
Primary
161502
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010338930002
—
PA
01
—
0686
BLUE CROSS
PA
01
—
105
UPMC
PA
01
—
15720
ADVANTRA
PA
Enumeration date
02/01/2006
Last updated
04/29/2008
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