1154441871 NPI number — SERVICE ACCESS AND MANAGEMENT INC

Table of content: (NPI 1154441871)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154441871 NPI number — SERVICE ACCESS AND MANAGEMENT INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SERVICE ACCESS AND MANAGEMENT INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1154441871
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/01/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
19 N 6TH ST
Provider Second Line Business Mailing Address:
SUITE 300
Provider Business Mailing Address City Name:
READING
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19601-3582
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-236-0530
Provider Business Mailing Address Fax Number:
610-236-4895

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
19 N 6TH ST
Provider Second Line Business Practice Location Address:
SUITE 300
Provider Business Practice Location Address City Name:
READING
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19601-3582
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-236-0530
Provider Business Practice Location Address Fax Number:
610-236-4895
Provider Enumeration Date:
03/29/2007

Additional Information

Authorized Official

Authorized Official Last Name:
SEIDEL
Authorized Official First Name:
JENNIFER
Authorized Official Middle Name:
LEIGH
Authorized Official Title or Position:
DIRECTOR OF FISCAL OPERATIONS
Authorized Official Telephone Number:
610-236-0530

Provider Taxonomy Codes

  • Taxonomy code: 251B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1000066240015 . This is a "PROMISE ID SCHUYLKILL IC" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 100066240069 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




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