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COMMUNITY FAMILY HEALTH CENTERS INC NPI 1124088034


NPI Information

NPI: 1124088034
Provider Name: COMMUNITY FAMILY HEALTH CENTERS INC

Other Name: UPMC SHADYSIDE FAMILY HEALTH CENTER

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 39D0675090

Address:
5215 CENTRE AVE
PITTSBURGH, PA
ZIP 15232
Phone: (412) 623-2287
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COMMUNITY FAMILY HEALTH CENTERS INC is a health service clinic center in Pittsburgh, PA. COMMUNITY FAMILY HEALTH CENTERS INC NPI is 1124088034. The provider is registered as an organization entity type.
The provider Other Name Is Upmc Shadyside Family Health Center.

The provider's business location address is:

5215 CENTRE AVE
PITTSBURGH, PA
ZIP 15232
Phone: (412) 623-2287
Fax: (412) 623-6629

The provider's authorized official is Mark Ehalt .
The authorized official title is Sr. Director and has the following contact phone number (412) 647-0943.

The CLIA number assigned to this NPI record is 39D0675090 - ancillary testing site in health care center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/24/2006 and was last updated on 5/8/2012.


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
1261QH0100XClinic/CenterHealth ServiceYes

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
1100773840MEDICAIDPENNSYLVANIA
2884154MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.