1629068473 NPI number — UNITED HEALTH CONCEPTS INC

Table of content: (NPI 1629068473)

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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