1689933970 NPI number — MULTICARE HOUSE CALL PHYSICIANS, INC.

Table of content: (NPI 1689933970)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689933970 NPI number — MULTICARE HOUSE CALL PHYSICIANS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MULTICARE HOUSE CALL PHYSICIANS, 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:
MULTICARE HEALTH SYSTEM
Provider Other Organization Name Type Code:
3
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:
1689933970
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/08/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8118 OLD YORK RD
Provider Second Line Business Mailing Address:
LOWER LEVEL
Provider Business Mailing Address City Name:
ELKINS PARK
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19027-1423
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-331-0805
Provider Business Mailing Address Fax Number:
215-635-1026

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8118 OLD YORK RD
Provider Second Line Business Practice Location Address:
LOWER LEVEL
Provider Business Practice Location Address City Name:
ELKINS PARK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19027-1423
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-331-0805
Provider Business Practice Location Address Fax Number:
215-635-1026
Provider Enumeration Date:
05/08/2012

Additional Information

Authorized Official

Authorized Official Last Name:
SAFRO
Authorized Official First Name:
LEONID
Authorized Official Middle Name:
Authorized Official Title or Position:
CO - ADMINISTRATOR
Authorized Official Telephone Number:
215-331-0805

Provider Taxonomy Codes

  • Taxonomy code: 363LA2200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





Copyright © 2007-2024 www.npivalidator.com