Provider Demographics
NPI:1902148562
Name:DEPARMENT OF VETERANS AFFAIRS
Entity Type:Organization
Organization Name:DEPARMENT OF VETERANS AFFAIRS
Other - Org Name:VA PITTSBURGH HEALTHCARE SYSTEM
Other - Org Type:Other Name
Authorized Official - Title/Position:ASSISTANT CHIEF OF SOCIAL WORK
Authorized Official - Prefix:MISS
Authorized Official - First Name:MISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIELDS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:412-822-2363
Mailing Address - Street 1:1010 DELAFIELD RD
Mailing Address - Street 2:130P-A
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15215-1802
Mailing Address - Country:US
Mailing Address - Phone:412-822-2412
Mailing Address - Fax:412-822-2313
Practice Address - Street 1:1010 DELAFIELD RD
Practice Address - Street 2:130P-A
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15215-1802
Practice Address - Country:US
Practice Address - Phone:412-822-2412
Practice Address - Fax:412-822-2313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-21
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW130267261QV0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QV0200XAmbulatory Health Care FacilitiesClinic/CenterVA