Organization
UPMC BRADDOCK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN MAMMARELLA CFO (CFO)
(412) 636-5314
Entity
Organization
Contact information
Practice address
400 HOLLAND AVE, BRADDOCK, PA 15104-1599
(412) 432-5500
Mailing address
PO BOX 382007, PITTSBURGH, PA 15250-8007
(412) 432-5500
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107
UPMC FOR YOU NUMBER
PA
01
—
1239
BLUE CROSS NUMBER
PA
Enumeration date
08/08/2006
Last updated
04/20/2008
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