Provider Demographics
NPI:1396147823
Name:UNIVERSITY OF PITTSBURGH-OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCTN
Entity type:Organization
Organization Name:UNIVERSITY OF PITTSBURGH-OF THE COMMONWEALTH SYSTEM OF HIGHER EDUCTN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, PURCHASING SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:E
Authorized Official - Last Name:YOUNGS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:412-383-1863
Mailing Address - Street 1:119 UNIVERSITY PL
Mailing Address - Street 2:2ND FLOOR, STUDENT HEALTH SERVICE
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-2605
Mailing Address - Country:US
Mailing Address - Phone:412-383-1863
Mailing Address - Fax:412-383-1846
Practice Address - Street 1:119 UNIVERSITY PL
Practice Address - Street 2:2ND FLOOR, STUDENT HEALTH SERVICE
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2605
Practice Address - Country:US
Practice Address - Phone:412-383-1863
Practice Address - Fax:412-383-1846
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-16
Last Update Date:2014-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty