Provider Demographics
NPI:1033399175
Name:P & P HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:P & P HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:MARONEY
Authorized Official - Suffix:
Authorized Official - Credentials:RT
Authorized Official - Phone:304-845-7528
Mailing Address - Street 1:26 SUN VLY
Mailing Address - Street 2:
Mailing Address - City:GLEN DALE
Mailing Address - State:WV
Mailing Address - Zip Code:26038-1222
Mailing Address - Country:US
Mailing Address - Phone:304-845-7528
Mailing Address - Fax:304-845-5214
Practice Address - Street 1:26 SUN VLY
Practice Address - Street 2:
Practice Address - City:GLEN DALE
Practice Address - State:WV
Practice Address - Zip Code:26038-1222
Practice Address - Country:US
Practice Address - Phone:304-845-7528
Practice Address - Fax:304-845-5214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-06
Last Update Date:2012-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV0501335V00000X
OHR2374519335V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335V00000XSuppliersPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV630001659OtherRAILROAD MCR
OH0717013Medicaid
WV001710535OtherBLUE CROSS BLUE SHIELD
WV0036366000Medicaid
WV5198032Medicare PIN
OH5198033Medicare PIN