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Organization

UPMC PRESBYTERIAN SHADYSIDE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JARED WEINER (CFO)
(412) 864-7000
Entity
Organization

Contact information

Practice address
200 LOTHROP ST, PITTSBURGH, PA 15213-2536
(412) 432-5500
Mailing address
PO BOX 382007, PITTSBURGH, PA 15251-8007
(412) 432-5500

Taxonomy

Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0013
PUH RENAL NUMBER
PA
01
1000019040151
ION HEALTHCARE NUMBER
PA
01
98138
CHRONIC RENAL NUMBER
PA
Enumeration date
12/12/2006
Last updated
09/10/2020
Update your record

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