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PHYLLIS MONTELLESE LLC NPI 1932277126


NPI Information

NPI: 1932277126
Provider Name: PHYLLIS MONTELLESE LLC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
128 N CRAIG ST
SUITE 216
PITTSBURGH, PA
ZIP 15213
Phone: (412) 681-3200
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PHYLLIS MONTELLESE LLC is a medical specialty clinic center in Pittsburgh, PA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). PHYLLIS MONTELLESE LLC NPI is 1932277126. The provider is registered as an organization entity type.

The provider's business location address is:

128 N CRAIG ST
SUITE 216
PITTSBURGH, PA
ZIP 15213-744
Phone: (412) 681-3200

The provider's authorized official is Phyllis Montellese .
The authorized official title is President and has the following contact phone number (412) 681-3200.

The enumeration date for this NPI number is 12/4/2006 and was last updated on 11/28/2007.


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
1261QM2500XClinic/CenterMedical SpecialtyYes

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
10010516210003MEDICAIDPENNSYLVANIA
2105017MEDICARE PIN
31878693OTHERBLUE SHIELD NUMBER
4B41200MEDICARE UPINPENNSYLVANIA

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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