1700806189 NPI number — ARIA HEALTH PROVIDER SERVICES

Table of content: (NPI 1700806189)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700806189 NPI number — ARIA HEALTH PROVIDER SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARIA HEALTH PROVIDER SERVICES
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:
1700806189
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/05/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 8500-6335
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:
19178-0001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-807-8000
Provider Business Mailing Address Fax Number:
215-807-8345

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3998 RED LION RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19114-1436
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-612-4000
Provider Business Practice Location Address Fax Number:
215-807-8235
Provider Enumeration Date:
07/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
KUMOR
Authorized Official First Name:
RONALD
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO/PRESIDENT AHFS
Authorized Official Telephone Number:
215-837-2023

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RC0000X , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207RI0011X , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 3693550001 . This is a "KEYSTONE IBC" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 379767 . This is a "BS ZEMBLE DONER SAKNOFSKY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 381501 . This is a "BS JUNIATA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 386631 . This is a "BS OXVALINTMED" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1007526250041 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1007526250039 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1967565 . This is a "BS - COMMODARO" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 386626 . This is a "BS FCIM" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1007526250051 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 379777 . This is a "BS FHCS PALAT" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 379886 . This is a "BS NEIM" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1742145 . This is a "BS FHCS R R" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 2088350 . This is a "HIGHMARK BLUE SHIELD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 379781 . This is a "BS LAMBERT" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com