1265474753 NPI number — OFFICE OF THE CONTROLLER COUNTY OF BUCKS

Table of content: (NPI 1265474753)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265474753 NPI number — OFFICE OF THE CONTROLLER COUNTY OF BUCKS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
OFFICE OF THE CONTROLLER COUNTY OF BUCKS
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:
6
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:
1265474753
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/21/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
101 E STATE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KENNETT SQUARE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19348-3109
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-925-4436
Provider Business Mailing Address Fax Number:
610-925-4351

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1660 EASTON RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WARRINGTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18976-1202
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-345-3205
Provider Business Practice Location Address Fax Number:
215-345-3213
Provider Enumeration Date:
06/11/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
DROPESKEY
Authorized Official First Name:
JANE
Authorized Official Middle Name:
Authorized Official Title or Position:
CORPORATE MANAGER
Authorized Official Telephone Number:
610-925-4231

Provider Taxonomy Codes

  • Taxonomy code: 314000000X , with the licence number:  140202 , 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: 260262 . This is a "HEALTH AMERICA PENNSYLVANIA, INC." identifier . This identifiers is of the category "OTHER".
  • Identifier: 001426 . This is a "HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY, INC. - PART B REHAB" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0074814701 . This is a "UNITED HEALTHCARE - AMERICHOICE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 24773 . This is a "HEALTH PARTNERS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 10424 . This is a "BRAVO BY ELDER HEALTH HMO INC." identifier . This identifiers is of the category "OTHER".
  • Identifier: 001036 . This is a "HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY, INC. - SUB" identifier . This identifiers is of the category "OTHER".
  • Identifier: 001426 . This is a "HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY, INC." identifier . This identifiers is of the category "OTHER".
  • Identifier: 395010 . This is a "HORIZON BLUE CROSS BLUE SHIELD OF NEW JERSEY, INC. - SNF" identifier . This identifiers is of the category "OTHER".
  • Identifier: 71-00397 . This is a "UNITED HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0006233000 . This is a "INDEPENDENCE BLUE CROSS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1050416 . This is a "INDEPENDENCE BLUE CROSS -KEYSTONE MERCY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 588883 . This is a "AETNA-HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 0006233000 . This is a "AMERIHEALTH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 100773100003 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".