Provider Demographics
NPI:1730224809
Name:ALLEGHENY CORRECTIONAL HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:ALLEGHENY CORRECTIONAL HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:DANA
Authorized Official - Middle Name:M
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-350-2200
Mailing Address - Street 1:3333 FORBES AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-3120
Mailing Address - Country:US
Mailing Address - Phone:412-578-8318
Mailing Address - Fax:412-578-8325
Practice Address - Street 1:950 2ND AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-3100
Practice Address - Country:US
Practice Address - Phone:412-350-2200
Practice Address - Fax:412-350-2216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty