Provider Demographics
NPI:1073049755
Name:ALLCARE HEALTH AND REHABILITATION
Entity Type:Organization
Organization Name:ALLCARE HEALTH AND REHABILITATION
Other - Org Name:HEALTH FIRST MEDICAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARVIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-628-6677
Mailing Address - Street 1:1829 UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:DUNBAR
Mailing Address - State:PA
Mailing Address - Zip Code:15431-2050
Mailing Address - Country:US
Mailing Address - Phone:724-628-6677
Mailing Address - Fax:724-628-4611
Practice Address - Street 1:1829 UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:DUNBAR
Practice Address - State:PA
Practice Address - Zip Code:15431-2050
Practice Address - Country:US
Practice Address - Phone:724-628-6677
Practice Address - Fax:724-628-4611
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALLCARE WELLNESS AND REHABILITATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-05-02
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009321111N00000X
PADC009348111N00000X
PADC010714111N00000X
PAOS006021L207Q00000X
PADAPT002205225100000X
PAPT009691L225100000X
PAMA052345363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1032695850001Medicaid
PA1032695850001Medicaid