ALLEGHENY GENERAL HOSPITAL ST. MARY'S DIALYSIS CENTER – NPI #1174539704
Clinic/Center

ALLEGHENY GENERAL HOSPITAL ST. MARY'S DIALYSIS CENTER is an AHC clinic located in SAINT MARYS, PA. NPPES has assigned the NPI number 1174539704 to ALLEGHENY GENERAL HOSPITAL ST. MARY'S DIALYSIS CENTER on August 01, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ALLEGHENY GENERAL HOSPITAL ST. MARY'S DIALYSIS CENTER” is a dba name, the actual legal business name for this organization is WEST PENN ALLEGHENY HEALTH SYSTEM INC.. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 14 years ago on Jun 01, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ALLEGHENY GENERAL HOSPITAL ST. MARY'S DIALYSIS CENTER below.

NPI Profile for
WEST PENN ALLEGHENY HEALTH SYSTEM INC.

NPI Number
1174539704
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
WEST PENN ALLEGHENY HEALTH SYSTEM INC.
Doing Business As (dba): ALLEGHENY GENERAL HOSPITAL ST. MARY'S DIALYSIS CENTER
Primary location
763 JOHNSONBURG RD
SAINT MARYS, PA 15857-3417
Phone: (814) 834-5181 Fax: (814) 834-5182
Mailing address
320 E NORTH AVE
PITTSBURGH, PA 15212-4756
Phone: (412) 359-3131 Fax: (412) 359-4108
Organization Subpart
Yes - ALLEGHENY GENERAL HOSPITAL ST. MARY'S DIALYSIS CENTER is subpart of another organization.
Authorized Official
RICK FRIES
INTERIM VP FINANCE
Phone: (412) 359-8550
Updated
Identifiers

Identifiers for ALLEGHENY GENERAL HOSPITAL ST. MARY'S DIALYSIS CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDPA1007508630045
MEDICAIDPA1007277200099
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)
PA 530101

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.