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155 Wilson Ave Washington PA 15301-3336 | |
| (724) 225-7000 | |
| (724) 229-2098 |
| Full Name | |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 155 Wilson Ave, Washington, Pennsylvania |
| Authorized Official Name and Position | Jared Weiner (CFO) |
| Authorized Official Contact | 4128647000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
155 Wilson Ave Washington PA 15301-3336 Ph: (724) 225-7000 | 155 Wilson Ave Washington PA 15301-3336 Ph: (724) 225-7000 |
| NPI Number | 1629185053 |
|---|---|
| Provider Enumeration Date | 08/23/2006 |
| Last Update Date | 11/20/2024 |
| Certification Date | 11/20/2024 |
| Medicare PECOS PAC ID | 0446159313 |
|---|---|
| Medicare Enrollment ID | O20120503000167 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629185053 | NPI | - | NPPES |
| 0099 | Other | PA | HIGHMARK BC/BS |
| 100738911-0072 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 230201 (Pennsylvania) | Primary |
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