Provider Demographics
NPI:1023372836
Name:HEALTHY HEARTS SLEEP CENTER
Entity Type:Organization
Organization Name:HEALTHY HEARTS SLEEP CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:REZK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-938-0191
Mailing Address - Street 1:PO BOX 1098
Mailing Address - Street 2:104 S. FINDLEY STREET
Mailing Address - City:PUNXSUTAWNEY
Mailing Address - State:PA
Mailing Address - Zip Code:15767-0898
Mailing Address - Country:US
Mailing Address - Phone:814-938-0191
Mailing Address - Fax:888-653-2243
Practice Address - Street 1:104 S FINDLEY ST
Practice Address - Street 2:
Practice Address - City:PUNXSUTAWNEY
Practice Address - State:PA
Practice Address - Zip Code:15767-2022
Practice Address - Country:US
Practice Address - Phone:814-938-0191
Practice Address - Fax:888-653-2243
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-26
Last Update Date:2015-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA262213OtherMEDICARE ID TYPE UNSPECIFIED