1851317457 NPI number — ARCADIA HEALTH SERVICES, INC.

Table of content: (NPI 1851317457)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851317457 NPI number — ARCADIA HEALTH SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARCADIA HEALTH SERVICES, 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:
ARCADIA HEALTH CARE
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:
1851317457
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
26777 CENTRAL PARK BLVD
Provider Second Line Business Mailing Address:
SUITE 200
Provider Business Mailing Address City Name:
SOUTHFIELD
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48076-4162
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-733-8427
Provider Business Mailing Address Fax Number:
248-352-5189

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1505 EMERSON AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SALISBURY
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21801-3220
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-341-4700
Provider Business Practice Location Address Fax Number:
410-341-4700
Provider Enumeration Date:
07/15/2006

Additional Information

Authorized Official

Authorized Official Last Name:
SPARLING
Authorized Official First Name:
CATHY
Authorized Official Middle Name:
WEISS
Authorized Official Title or Position:
CHIEF OPERATING OFFICER
Authorized Official Telephone Number:
800-733-8427

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  R1093 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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