Organization
UPMC MCKEESPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURENE TIMMONS (CFO)
(412) 664-6781
Entity
Organization
Contact information
Practice address
1500 5TH AVE, MCKEESPORT, PA 15132-2422
(412) 432-5500
Mailing address
600 GRANT STREET, US STEEL TOWER, 59TH FLOOR, C/O RENEE JOHNSON, PITTSBURGH, PA 15219-2740
(412) 623-6303
(412) 623-6369
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000056049
MEDPLUS NUMBER
PA
01
—
0008
HIGHMARK PROVIDER NUMBER
PA
05
—
1007643400014
—
PA
01
—
1007643400026
ION HEALTHCARE NUMBER
PA
Enumeration date
12/21/2006
Last updated
11/27/2023
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