Provider Demographics
NPI:1790653582
Name:BEAVER VALLEY IU 27
Entity type:Organization
Organization Name:BEAVER VALLEY IU 27
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCESS COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:BISKUP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-685-7831
Mailing Address - Street 1:147 POPLAR AVE
Mailing Address - Street 2:
Mailing Address - City:MONACA
Mailing Address - State:PA
Mailing Address - Zip Code:15061-2585
Mailing Address - Country:US
Mailing Address - Phone:774-774-7800
Mailing Address - Fax:724-774-4751
Practice Address - Street 1:423 ADAMS ST
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:PA
Practice Address - Zip Code:15074-1910
Practice Address - Country:US
Practice Address - Phone:724-774-7800
Practice Address - Fax:724-774-4751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-24
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)