CANONSBURG GENERAL HOSPITAL (NPI# 1104953702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104953702 |
| Entity Type | Organization |
| Organization Name | CANONSBURG GENERAL HOSPITAL |
| Other Organization Name | HEALTH WORKS |
| Practice Address |
400 Southpointe Blvd Plaza 1 Suite235 Canonsburg PA 15317-8549 |
| Practice Telephone | 7247431800 |
| Practice Fax Number | 7247433291 |
| Mailing Telephone | 7247431800 |
| Mailing Fax Number | 7247433291 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. TERRY WILTROUT (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 7248735880 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0100X |
Clinic/Center Specialization: Occupational Medicine |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Health Works | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249748 | Canonsburg General Hospital | Pharmacy | 100 Medical Blvd Fl 1, Canonsburg, PA 15317-9762 | 2020-09-11 |
| 1962401497 | Canonsburg General Hospital | General Acute Care Hospital | 100 Medical Boulevard, Canonsburg, PA 15317-9762 | 2005-07-18 |
| 1871568725 | Canonsburg General Hospital | Rehabilitation Unit | 100 Medical Boulevard, Canonsburg, PA 15317-9762 | 2006-02-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CANONSBURG GENERAL HOSPITAL | 100 Medical Blvd, Canonsburg, PA 15317-9762 |
| Street Address |
400 SOUTHPOINTE BLVD PLAZA 1 SUITE235 |
| City | CANONSBURG |
| State | PA |
| Zip Code | 15317-8549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003895210 | Allegheny Medical Practice Network | Internal Medicine | 400 Southpointe Blvd, Suite 235, Canonsburg, PA 15317-8549 | 2006-01-16 |
| 1538325873 | Laurie S Molinda | Internal Medicine | 400 Southpointe Blvd, Plaza One, Suite 235, Canonsburg, PA 15317-8549 | 2008-08-06 |
| 1861469553 | Gyne Solo, P.C. | Obstetrics & Gynecology | 400 Southpointe Blvd, Suite 110, Canonsburg, PA 15317-8549 | 2006-03-02 |
| 1841262656 | Diana Patricia Carmona | Obstetrics & Gynecology | 400 Southpointe Blvd, Suite 110, Canonsburg, PA 15317-8549 | 2006-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487294062 | Agnes Odelia Strang | Technician | 18 Angerer Rd, Canonsburg, PA 15317 | 2020-01-10 |
| 1578026191 | Centerville Clinics | Social Worker | Peters Township High School, 264 East Mcmurray Road, Mcmurray, PA 15317 | 2019-04-10 |
| 1700349321 | Centerville Clinics Inc | Social Worker | Peters Township Middle School, 626 East Mcmurray Road, Mcmurray, PA 15317 | 2019-04-10 |
| 1811450448 | Centerville Clinics Inc | Social Worker | Pleasant Valley Elementary School, 250 East Mcmurray Road, Mcmurray, PA 15317 | 2019-04-10 |
| 1104315241 | Jill Brandtonies | Nurse Practitioner | 5000 Waterdam Plaza Dr Ste 180, Canonsburg, PA 15317 | 2018-05-03 |
| 1053827527 | Debra Gowans | Registered Nurse | 100 Blue Jay Road, Canonsburg, PA 15317 | 2017-12-20 |
| 1801300462 | Caregivers On Demand LLC | In Home Supportive Care | 125 Technology Dr Ste 103, Canonsburg, PA 15317 | 2017-11-18 |
| 1407365919 | Robert Michael Krak | Dentist | 169 Progress Drive, Waynesburg, PA 15317 | 2017-09-27 |
| 1457873838 | Sara Vallelunga | Physician Assistant | 62 Abbeywood Lane, Canonsburg, PA 15317 | 2017-07-07 |
| 1457770364 | Skraitz Chiropractic PC | Chiropractor | 2476 Washington Road, Canonsburg, PA 15317 | 2014-04-08 |
| Find all providers in zip 15317 | ||||
| Taxonomy Code | 261QX0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Occupational Medicine |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114545977 | Puentes De Salvd | Clinic/Center | 1700 South Street, Philadelphia, PA 19146 | 2020-07-08 |
| 1851890578 | Pow Enterprises, LLC | Clinic/Center | 100 Fleet St Ste 103, Pittsburgh, PA 15220-2928 | 2018-02-08 |
| 1578090577 | Occupational Health Center of The Southwest, P.a. | Clinic/Center | 1480 Manheim Pike, Lancaster, PA 17601-3152 | 2017-05-22 |
| 1659780039 | Meadville Medical Center | Clinic/Center | 11277 Vernon Pl Ste 101, Meadville, PA 16335-3718 | 2014-08-11 |
| 1336579911 | Sentier LLC | Clinic/Center | 179 Forsythia Dr N, Levittown, PA 19056-1935 | 2013-11-19 |
| 1174776876 | Dominion Therapy Services, LLC | Clinic/Center | 122 Crabapple Ln, Ligonier, PA 15658-3602 | 2008-10-28 |
| 1538320270 | St Clair Medical Services | Clinic/Center | 2000 Oxford Driv, Suite 110, Pittsburgh, PA 15102 | 2008-06-24 |
| 1295995298 | Bechtel Bettis, Inc. | Clinic/Center | 814 Pittsburgh Mckeesport Blvd, West Mifflin, PA 15122-2849 | 2008-06-12 |
| 1073731014 | Med Center 100 | Clinic/Center | 625 N. Pottstown Pike, Exton, PA 19341 | 2007-04-23 |
| 1023132867 | Healthmark, Incorporated | Clinic/Center | 1 Crescent Dr., Navy Yard Suite 100, Philadelphia, PA 19112 | 2007-03-19 |
| Find all providers with the same taxonomy | ||||
| City | CANONSBURG |
| Zip Code | 15317 |
Please comment or provide details below to improve the information on CANONSBURG GENERAL HOSPITAL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.