Basic Information
| Provider Information | |||||||||
| NPI: | 1275993297 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ALLEGHNEY HEALTH CLINIC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7546 STATE ROUTE 30 | ||||||||
| Address2: | FIRST FLOOR | ||||||||
| City: | IRWIN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 156428808 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7247651030 | ||||||||
| FaxNumber: | 7247651023 | ||||||||
| Practice Location | |||||||||
| Address1: | 7546 STATE ROUTE 30 | ||||||||
| Address2: | FIRST FLOOR | ||||||||
| City: | IRWIN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 156427528 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7247651030 | ||||||||
| FaxNumber: | 7247651023 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/03/2016 | ||||||||
| LastUpdateDate: | 03/03/2016 | ||||||||
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| AuthorizedOfficialLastName: | HAHALYAK | ||||||||
| AuthorizedOfficialFirstName: | MICHAEL | ||||||||
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| AuthorizedOfficialTitleorPosition: | PHYSICIAN | ||||||||
| AuthorizedOfficialTelephone: | 7247651030 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | DO | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 302R00000X | OS 004995L | PA | Y | Managed Care Organizations | Health Maintenance Organization |
No ID Information.