PRIMARY CARE HEALTH SERVICES INC NPI 1760552129

NPI Information

PRIMARY CARE HEALTH SERVICES, INC is a federally qualified health center (fqhc) clinic center in Pittsburgh, PA. PRIMARY CARE HEALTH SERVICES, INC NPI is 1760552129. The provider is registered as an organization entity type.
The provider Is Doing Business As Hazelwood Family Health Center.

The provider's business location address is:

4918 2ND AVE
PITTSBURGH, PA
ZIP 15207-623
Phone: (412) 422-9520
Fax: (412) 422-4094

The provider's authorized official is Wilford A. Payne .
The authorized official title is Executive Director and has the following contact phone number (412) 244-4700.

The CLIA number assigned to this NPI record is 39D0177179 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/9/2006 and was last updated on 9/29/2011.

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:

Other Identifiers

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

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