Provider Demographics
NPI:1932374790
Name:UPMC
Entity type:Organization
Organization Name:UPMC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:M
Authorized Official - Last Name:WIRTH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:412-856-8770
Mailing Address - Street 1:4075 MONROEVILLE BLVD
Mailing Address - Street 2:CORPORATE ONE OFFICE PARK BLDG #2 SUITE 106
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146
Mailing Address - Country:US
Mailing Address - Phone:412-856-8770
Mailing Address - Fax:412-856-8790
Practice Address - Street 1:4075 MONROEVILLE BLVD.
Practice Address - Street 2:CORPORATE ONE OFFICE PARK BLDG #2 SUITE 106
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146
Practice Address - Country:US
Practice Address - Phone:412-856-8770
Practice Address - Fax:412-856-8790
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UPMC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-23
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN 189170L261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PARN189170LOtherREGISTERED NURSE LIC NUMBER