Organization
EDGEWORTH COMMONS GROUP LLC
Active
Other names
Surgery Center at Edgworth Commons
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEANNA CUNNINGHAM R.N., B.A. (CLINICAL DIRECTOR)
(412) 741-1170
Entity
Organization
Contact information
Practice address
301 OHIO RIVER BLVD, SUITE 100, SEWICKLEY, PA 15143-1300
(412) 741-1170
Mailing address
301 OHIO RIVER BLVD, SUITE 100, SEWICKLEY, PA 15143-1300
(412) 741-1170
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
1777
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000168322
UNISON
PA
05
—
1013391430001
—
PA
01
—
2787108
CIGNA
PA
01
—
HIGHMARK
0258
PA
01
—
P00265162
RAILROAD MEDICARE
PA
Enumeration date
06/18/2006
Last updated
08/22/2020
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