Organization
UPMC MCKEESPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURENE TIMMONS (CFO)
(412) 664-6781
Entity
Organization
Contact information
Practice address
1500 5TH AVE, MCKEESPORT, PA 15132-2422
(412) 664-2000
Mailing address
600 GRANT ST, US STEEL TOWER, 59TH FLOOR, C/O RENEE JOHNSON, PITTSBURGH, PA 15219-2740
(412) 623-6303
(412) 623-6369
Taxonomy
Speciality
Code
Description
License number
State
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
707299
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
707299
CERITIFCATE OF COMPLIANCE
PA
Enumeration date
06/11/2018
Last updated
10/22/2020
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