Organization
PRISM HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK W ENGLISH (DIRECTOR)
(412) 466-5111
Entity
Organization
Contact information
Practice address
4821 BUTTERMILK HOLLOW RD, WEST MIFFLIN, PA 15122-1105
(412) 466-5111
(412) 466-6737
Mailing address
4821 BUTTERMILK HOLLOW RD, WEST MIFFLIN, PA 15122-1105
(412) 466-5111
(412) 466-6737
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
03180
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007092380002
—
PA
01
—
00281610
COMMERCIAL INSURERS
PA
01
—
00709238
UNISON HEALTH PLAN OF PA
PA
01
—
1501892
GATEWAY HEALTH PLAN
PA
Enumeration date
07/28/2006
Last updated
08/22/2020
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