Organization
WEST PENN ALLEGHENY HEALTH SYSTEM INC.
Active
Parent organization
WEST PENN ALLEGHENY HEALTH SYSTEM INC.
Other names
Allegheny General Hospital Thorn Run Dialysis Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST PENN ALLEGHENY HEALTH SYSTEM INC.
Authorized official
MR. RICK FRIES (INTERIM VP FINANCE)
(412) 359-8550
Entity
Organization
Contact information
Practice address
1136 THORN RUN RD, SUITEJ1, MOON TOWNSHIP, PA 15108-4301
(412) 269-2304
(412) 269-2840
Mailing address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-3131
(412) 359-4108
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
530101
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007508630045
—
PA
Enumeration date
08/01/2006
Last updated
06/01/2012
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