GATEWAY REHABILITATION CENTER-ALLEGHENY VALLEY NPI 1902807563

NPI Information

NPI: 1902807563
Provider Name: GATEWAY REHABILITATION CENTER-ALLEGHENY VALLEY
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
1360 OLD FREEPORT RD
SUITES 3A & 3B
PITTSBURGH, PA
ZIP 15238
Phone: (412) 963-7077
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GATEWAY REHABILITATION CENTER-ALLEGHENY VALLEY is a rehabilitation and substance use disorder clinic center in Pittsburgh, PA. GATEWAY REHABILITATION CENTER-ALLEGHENY VALLEY NPI is 1902807563. The provider is registered as an organization entity type.

The provider's business location address is:

1360 OLD FREEPORT RD
SUITES 3A & 3B
PITTSBURGH, PA
ZIP 15238-102
Phone: (412) 963-7077
Fax: (412) 963-7083

The provider's authorized official is James Troup .
The authorized official title is President/ceo and has the following contact phone number (412) 766-8700.

The enumeration date for this NPI number is 8/4/2005 and was last updated on 6/3/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	707174	PENNSYLVANIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1007607430036	MEDICAID	PENNSYLVANIA
2	1007607430064	MEDICAID	PENNSYLVANIA
3	1007607430086	MEDICAID	PENNSYLVANIA

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

NPI Synchronization or Removal

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