Organization
CANONSBURG GENERAL HOSPITAL - SPU
Active
Parent organization
CANONSBURG GENERAL HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
CANONSBURG GENERAL HOSPITAL
Authorized official
KIMBERLY MALINKY (CEO)
(724) 873-5892
Entity
Organization
Contact information
Practice address
100 MEDICAL BLVD, CANONSBURG, PA 15317-9762
(724) 745-6100
(724) 873-1116
Mailing address
100 MEDICAL BLVD, CANONSBURG, PA 15317-9762
(724) 745-6100
(724) 873-1116
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
29530100
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100727730003
—
PA
Enumeration date
03/29/2007
Last updated
08/09/2007
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