Organization
UPMC SOUTH SIDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM MILLER CFO (CFO)
(412) 488-5573
Entity
Organization
Contact information
Practice address
2000 MARY ST, PITTSBURGH, PA 15203-2054
(412) 432-5500
Mailing address
PO BOX 382007, PITTSBURGH, PA 15250-8007
(412) 488-5573
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000056465
MEDPLUS NUMBER
PA
01
—
0016
HIGHMARK PROVIDER NUMBER
PA
05
—
100772770008
—
PA
01
—
1007727710008
ION HEALTHCARE NUMBER
PA
Enumeration date
12/21/2006
Last updated
08/22/2020
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