Provider Demographics
NPI:1891565446
Name:SQUIRREL HILL HEALTH CENTER
Entity type:Organization
Organization Name:SQUIRREL HILL HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:COHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-680-3250
Mailing Address - Street 1:PO BOX 6327
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:PA
Mailing Address - Zip Code:16148-0924
Mailing Address - Country:US
Mailing Address - Phone:412-422-7442
Mailing Address - Fax:412-904-5025
Practice Address - Street 1:100 S JACKSON AVE FL 3
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15202-3428
Practice Address - Country:US
Practice Address - Phone:412-422-7442
Practice Address - Fax:412-904-5025
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SQUIRREL HILL HEALTH CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-01-04
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)