Organization
NUBRIDGE ASSOCIATES LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY VANSICKLES (ADMINISTRATOR)
(724) 981-2750
Entity
Organization
Contact information
Practice address
959 E STATE ST, SHARON, PA 16146-3331
(724) 981-2750
(724) 981-4703
Mailing address
959 E STATE ST, SHARON, PA 16146-3331
(724) 981-2750
(724) 981-4703
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
032902
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017855390001
—
PA
01
—
1363
BLUE CROSS PROVIDER #
PA
01
—
318270
UPMC HEALTH PLAN PROVIDER
PA
Enumeration date
06/21/2005
Last updated
02/01/2016
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