East Liberty Family Health Care Center

LBN: East Liberty Family Health Care Center
East Liberty Family Health Care Center is an health care organization with primary practice located at 7171 Churchland St , Pittsburgh PA 15206-1217. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Suppliers / Non-Pharmacy Dispensing Site. Suppliers / Non-Pharmacy Dispensing Site is the primary health care specialty. East Liberty Family Health Care Center can be contacted via phone (412) 345-0414, or through Medley-Long, Lynne via phone (412) 361-8284.

Contact Information

Primary practice address
7171 Churchland St Pittsburgh PA 15206-1217
Phone: (412) 345-0414
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Medley-Long, Lynne
Phone: (412) 361-8284

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Suppliers / Non-Pharmacy Dispensing Site 332900000X MD024454E Pennsylvania

Profile Details

NPI number 1982738753
LBN Legal business name East Liberty Family Health Care Center
DBA Doing business as
Authorized official Medley-Long, Lynne
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2007
Last updated Oct 21st, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982738753 NPPES
Pennsylvania Other 3979955 NCDP
Pennsylvania MEDICAID 1007524920002 NCDP

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