Organization
ALLIANCE MEDICAL SERVICES, INC, ENSIGN I
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN K SHANER (PROJECT DIRECTOR)
(412) 488-6360
Entity
Organization
Contact information
Practice address
729 ENSIGN AVE, PITTSBURGH, PA 15226-1105
(412) 488-6360
(412) 488-6344
Mailing address
729 ENSIGN AVE, PITTSBURGH, PA 15226-1105
(412) 488-6360
(412) 488-6344
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
707223
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007386170001
—
PA
Enumeration date
10/20/2006
Last updated
08/22/2020
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