PRIME MEDICAL GROUP PCG1 NPI 1679712764

NPI Details

PRIME MEDICAL GROUP PCG1 is an internal medicine in Clairton, PA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PRIME MEDICAL GROUP PCG1 NPI is 1679712764. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1200 BROOKS LN STE 110
CLAIRTON, PA
ZIP 15025-749
Phone: (412) 466-5502
Fax: (412) 469-8948

The provider's authorized official is Denise Noel .
The authorized official title is Director Provider Enrolment and has the following contact phone number (412) 330-5861.

The CLIA number assigned to this NPI record is 39D0944324 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/12/2009 and was last updated on 11/6/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: