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Organization

TURTLE CREEK VALLEY MH MR, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FRAN SHEEDY BOST MED (EXECUTIVE DIRECTOR)
(412) 351-0222
Entity
Organization

Contact information

Practice address
519 PENN AVE, HUMAN SERVICES CENTER, TURTLE CREEK, PA 15145
(412) 824-8510
(412) 824-0948
Mailing address
723 BRADDOCK AVE, BRADDOCK, PA 15104-1849
(412) 351-0222
(412) 351-2616

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
422510
PA
261QM0850X
Adult Mental Health Clinic/Center
Primary
422510
PA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
422510
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007281380017
PA
05
1007281380050
PA
01
1040548
GATEWAY HEALTH PLAN MEDICARE ASSURED
01
111270
VALUE OPTIONS
01
1760666
HIGHARK
01
1760672
HIGHMARK
01
340652
TRICARE CHAMPUS
01
648025
HIGHMARK
01
CN3397
RAILROAD MEDICARE
01
IG001416
MAGELLAN
Enumeration date
02/20/2007
Last updated
06/15/2009
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