Provider Demographics
NPI:1992773790
Name:CITY OF PITTSBURGH
Entity type:Organization
Organization Name:CITY OF PITTSBURGH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:A
Authorized Official - Last Name:BOCIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-622-6932
Mailing Address - Street 1:700 FILBERT ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232-2404
Mailing Address - Country:US
Mailing Address - Phone:412-622-6930
Mailing Address - Fax:412-622-6941
Practice Address - Street 1:700 FILBERT ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-2404
Practice Address - Country:US
Practice Address - Phone:412-622-6930
Practice Address - Fax:412-622-6941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-09
Last Update Date:2016-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA03093341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA07168704Medicaid
PA285118OtherSECURITY BLUE
PA120869800OtherUS DEPT OF LABOR
PA441590690OtherRAIL ROAD MEDICARE
PA285118Other65 SPECIAL
PA285118OtherBLUE CROSS
PA104441OtherUPMC
PA285118Medicare Oscar/Certification
PA285118Medicare ID - Type Unspecified
PA07168704Medicaid