Organization
MONROEVILLE SPECIALTY CLINIC INC
Active
Other names
UPMC MONROEVILLE SURGERY CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EILEEN SIMMONS (CFO)
(412) 647-7713
Entity
Organization
Contact information
Practice address
125 DAUGHERTY DR, MONROEVILLE, PA 15146-2749
(412) 374-9385
(412) 374-9490
Mailing address
125 DAUGHERTY DR, MONROEVILLE, PA 15146-2749
(412) 374-9385
(412) 374-9490
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
04291500
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014283020001
—
PA
01
—
20774
UPMC HEALTH PLAN
PA
01
—
73393
HEALTH AMERICA/ASSURANCE
PA
01
—
BLUE CROSS
0173
PA
Enumeration date
01/31/2006
Last updated
07/19/2013
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