1437179645 NPI number — HEALTH SERVICES FOR WOMEN, PC

Table of content: (NPI 1437179645)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437179645 NPI number — HEALTH SERVICES FOR WOMEN, PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEALTH SERVICES FOR WOMEN, PC
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:
1437179645
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/24/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3801 NEHRIG HILL RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ARDARA
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15615-9739
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-856-5438
Provider Business Mailing Address Fax Number:
412-856-7279

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3801 NEHRIG HILL RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ARDARA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15615-9739
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-856-5438
Provider Business Practice Location Address Fax Number:
412-856-7279
Provider Enumeration Date:
07/20/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
GALLA-ELIZEUS
Authorized Official First Name:
KATHY
Authorized Official Middle Name:
LYNNE
Authorized Official Title or Position:
OWNER PRESIDENT
Authorized Official Telephone Number:
412-841-4085

Provider Taxonomy Codes

  • Taxonomy code: 207V00000X , with the licence number:  MD063871L , 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)