Basic Information
| Provider Information | |||||||||
| NPI: | 1215598156 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | AHN EMERUS WESTMORELAND LLC | ||||||||
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| OtherOrganizationName: | AHN BRENTWOOD NEIGHBORHOOD HOSPITAL | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8686 NEW TRAILS DR STE 100 | ||||||||
| Address2: | |||||||||
| City: | THE WOODLANDS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 773811176 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2812922450 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3290 SAW MILL RUN BLVD | ||||||||
| Address2: | |||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152272318 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2812922450 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/21/2019 | ||||||||
| LastUpdateDate: | 08/05/2020 | ||||||||
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| AuthorizedOfficialLastName: | JOHNSON | ||||||||
| AuthorizedOfficialFirstName: | TINA | ||||||||
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| AuthorizedOfficialTitleorPosition: | SR MED STAFF AND PROVIDER ENROLLMEN | ||||||||
| AuthorizedOfficialTelephone: | 7136371146 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 08/05/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | Y | Hospitals | General Acute Care Hospital |
ID Information
| ID | Type | State | Issuer | Description | 390333 | 01 | PA | MEDICARE | OTHER | 103788819-003 | 05 | PA | MEDICAID |