Organization
UPMC HORIZON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN FRITZ (CFO)
(412) 748-6354
Entity
Organization
Contact information
Practice address
110 N MAIN ST, GREENVILLE, PA 16125-1726
(412) 432-5500
Mailing address
PO BOX 382007, PITTSBURGH, PA 15250-8007
(412) 432-5500
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0045
HIGHMARK PROVIDER NUMBER
PA
05
—
100728236
—
PA
Enumeration date
12/21/2006
Last updated
11/19/2020
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