1326213067 NPI number — ASSOCIATES IN FAMILY HEALTH CARE INC.

Table of content: (NPI 1326213067)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326213067 NPI number — ASSOCIATES IN FAMILY HEALTH CARE INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ASSOCIATES IN FAMILY HEALTH CARE 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:
1326213067
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/02/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3021 EMILIO CENTER
Provider Second Line Business Mailing Address:
SUITE 3
Provider Business Mailing Address City Name:
SLICKVILLE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15684-0160
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-468-4099
Provider Business Mailing Address Fax Number:
724-468-3370

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3021 EMILIO CENTER
Provider Second Line Business Practice Location Address:
SUITE 3
Provider Business Practice Location Address City Name:
SLICKVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15684-0160
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-468-4099
Provider Business Practice Location Address Fax Number:
724-468-3370
Provider Enumeration Date:
04/24/2008

Additional Information

Authorized Official

Authorized Official Last Name:
GRANT
Authorized Official First Name:
CATHERINE
Authorized Official Middle Name:
Authorized Official Title or Position:
NURSE PRACTITIONER
Authorized Official Telephone Number:
724-468-4099

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  UP001497B , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 83048 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: AS660803 . This is a "BLUE CROSS S GROUP NUMBER 660803" identifier . This identifiers is of the category "OTHER".




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