Provider Demographics
NPI:1184787145
Name:HOLY FAMILY INSTITUTE
Entity type:Organization
Organization Name:HOLY FAMILY INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:J
Authorized Official - Last Name:PALASTRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-766-4030
Mailing Address - Street 1:8235 OHIO RIVER BLVD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15202-1454
Mailing Address - Country:US
Mailing Address - Phone:412-766-4030
Mailing Address - Fax:412-766-5434
Practice Address - Street 1:8235 OHIO RIVER BLVD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15202-1454
Practice Address - Country:US
Practice Address - Phone:412-766-4030
Practice Address - Fax:412-766-5434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2015-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA404530251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007529660009Medicaid
PA1014343580030Medicaid
PA1007529660001Medicaid
PA1014343580028Medicaid
PA1007529660005Medicaid
PA1007529660011Medicaid
PA1014343580026Medicaid
PA101434358Medicaid
PA1014343580029Medicaid
PA1007529660012Medicaid
PA001489365Medicare UPIN
PA101434358Medicaid