1598807273 NPI number — THE PROGRESSIONS COMPANIES, INC.

Table of content: (NPI 1598807273)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598807273 NPI number — THE PROGRESSIONS COMPANIES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE PROGRESSIONS COMPANIES, 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:
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:
1598807273
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/14/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
521 PLYMOUTH ROAD
Provider Second Line Business Mailing Address:
SUITE 106
Provider Business Mailing Address City Name:
PLYMOUTH MEETING
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19462-1638
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-941-3390
Provider Business Mailing Address Fax Number:
610-941-3391

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3300 HENRY AVENUE
Provider Second Line Business Practice Location Address:
PRESTON HALL, SUITE 302
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19129-1121
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-924-0684
Provider Business Practice Location Address Fax Number:
215-924-3805
Provider Enumeration Date:
02/12/2007

Additional Information

Authorized Official

Authorized Official Last Name:
LUNDREN
Authorized Official First Name:
BARBARA
Authorized Official Middle Name:
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
484-904-0080

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1007742570019 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




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