Provider Type Icon

GREENTREE MEDICAL CENTER URGENT CARE NPI 1790447258


NPI Information

NPI: 1790447258
Provider Name: GREENTREE MEDICAL CENTER URGENT CARE
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 39D0180009

Address:
995 GREENTREE RD
PITTSBURGH, PA
ZIP 15220
Phone: (412) 920-1700
Get Directions

GREENTREE MEDICAL CENTER URGENT CARE is an urgent care clinic center in Pittsburgh, PA. GREENTREE MEDICAL CENTER URGENT CARE NPI is 1790447258. The provider is registered as an organization entity type.

The provider's business location address is:

995 GREENTREE RD
PITTSBURGH, PA
ZIP 15220-242
Phone: (412) 920-1700
Fax: (412) 920-4700

The provider's authorized official is Candace L Konkus .
The authorized official title is Credentialing Manager and has the following contact phone number (724) 883-2223.

The CLIA number assigned to this NPI record is 39D0180009 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/12/2021 and was last updated on 10/12/2021.


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
1261QU0200XClinic/CenterUrgent CareYes

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
11027508530003MEDICAIDPENNSYLVANIA

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.