1366467862 NPI number — SOLIS HEALTHCARE, LP

Table of content: (NPI 1366467862)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366467862 NPI number — SOLIS HEALTHCARE, LP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SOLIS HEALTHCARE, LP
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:
WARMINSTER HOSPITAL
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:
1366467862
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/20/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 828107
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PHILADELPHIA
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19182-8107
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-255-3152
Provider Business Mailing Address Fax Number:
215-441-5677

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
225 NEWTOWN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WARMINSTER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18974-5221
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-441-6600
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/13/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
RABE
Authorized Official First Name:
DOUGLAS
Authorized Official Middle Name:
E.
Authorized Official Title or Position:
VP OF TAXATION, TENET HEALTHCARE
Authorized Official Telephone Number:
469-893-2530

Provider Taxonomy Codes

  • Taxonomy code: 273Y00000X , with the licence number:  23400100 , 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)