Provider Demographics
NPI:1003287954
Name:BHS HVHS MULTISPECIALTY GROUP INC
Entity Type:Organization
Organization Name:BHS HVHS MULTISPECIALTY GROUP INC
Other - Org Name:PA BRAIN & SPINE INSTITUTE
Other - Org Type:Other Name
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:KREBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-284-4789
Mailing Address - Street 1:PO BOX 1549
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16003-1549
Mailing Address - Country:US
Mailing Address - Phone:724-284-5670
Mailing Address - Fax:724-284-4144
Practice Address - Street 1:129 ONEIDA VALLEY RD
Practice Address - Street 2:SUITE 203
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-2213
Practice Address - Country:US
Practice Address - Phone:724-284-5670
Practice Address - Fax:724-284-4144
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BHS HVHS MULTISPECIALTY GROUP INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-10-16
Last Update Date:2016-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
462886Medicare PIN