Organization
STO-ROX NEIGHBORHOOD HEALTH COUNCIL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGIS J RYAN (EXECUTIVE DIRECTOR)
(412) 771-6462
Entity
Organization
Contact information
Practice address
151 RUTH STREET, PITTSBURGH, PA 15211-2308
(412) 431-3520
Mailing address
151 RUTH STREET, PITTSBURGH, PA 15211-2308
(412) 431-3520
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100777811 0007
—
PA
05
—
100777811 0008
—
PA
Enumeration date
05/22/2014
Last updated
07/16/2014
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