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PEFHA HEALTH & WELLNESS CENTER NPI 1578616637


NPI Information

NPI: 1578616637
Provider Name: PEFHA HEALTH & WELLNESS CENTER
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 39D1047097

Address:
10 DUFF RD STE 103
PITTSBURGH, PA
ZIP 15235
Phone: (412) 241-4104
Get Directions

PEFHA HEALTH & WELLNESS CENTER is a family medicine in Pittsburgh, PA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PEFHA HEALTH & WELLNESS CENTER NPI is 1578616637. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10 DUFF RD STE 103
PITTSBURGH, PA
ZIP 15235-261
Phone: (412) 241-4104
Fax: (412) 241-9567

The provider's authorized official is Yvette Broadnax .
The authorized official title is President and has the following contact phone number (412) 241-4104.

The CLIA number assigned to this NPI record is 39D1047097 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/19/2007 and was last updated on 11/3/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineMD-72372LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1018405050003MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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