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
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