1629068473 NPI number — UNITED HEALTH CONCEPTS INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629068473 NPI number — UNITED HEALTH CONCEPTS INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNITED HEALTH CONCEPTS 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:
1629068473
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:
4085 ROUTE 8
Provider Second Line Business Mailing Address:
STE 106
Provider Business Mailing Address City Name:
ALLISON PARK
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15101-3000
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-492-8980
Provider Business Mailing Address Fax Number:
412-492-9753

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4085 ROUTE 8
Provider Second Line Business Practice Location Address:
STE 106
Provider Business Practice Location Address City Name:
ALLISON PARK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15101-3000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-492-8980
Provider Business Practice Location Address Fax Number:
412-492-9753
Provider Enumeration Date:
10/24/2005

Additional Information

Authorized Official

Authorized Official Last Name:
HOUSTON
Authorized Official First Name:
THOMAS
Authorized Official Middle Name:
R
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
412-492-8980

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  6000004932 , 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: 0000765625 . This is a "BCBS OF KANSAS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 314387 . This is a "BCBS OF KENTUCKY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 20034847 . This is a "AMERIHEALTH MERCY" identifier . This identifiers is of the category "OTHER".
  • Identifier: 314387 . This is a "ANTHEM" identifier . This identifiers is of the category "OTHER".
  • Identifier: HDM0011740 . This is a "BCBS OF RHODE ISLAND" identifier . This identifiers is of the category "OTHER".
  • Identifier: 691142 . This is a "DESCRET MUTUAL" identifier . This identifiers is of the category "OTHER".
  • Identifier: 50037395 . This is a "CAPITAL BLUE CROSS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 202962 . This is a "BCBS OF PENNSYLVANIA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 614499 . This is a "BCBS OF VIRGINIA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 52002811 . This is a "BCBS OF GEORGIA" identifier . This identifiers is of the category "OTHER".
  • Identifier: CZ555 . This is a "EMPIRE BCBS" identifier . This identifiers is of the category "OTHER".




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