Provider Demographics
NPI:1073979860
Name:JOURNEY HEALTH CARE MANAGEMENT SERVICES LLC
Entity Type:Organization
Organization Name:JOURNEY HEALTH CARE MANAGEMENT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LUCY
Authorized Official - Middle Name:
Authorized Official - Last Name:GARRIGHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-400-5555
Mailing Address - Street 1:5855 STEUBENVILLE PIKE
Mailing Address - Street 2:STE. 101
Mailing Address - City:MC KEES ROCKS
Mailing Address - State:PA
Mailing Address - Zip Code:15136-1356
Mailing Address - Country:US
Mailing Address - Phone:412-668-4444
Mailing Address - Fax:
Practice Address - Street 1:5855 STEUBENVILLE PIKE
Practice Address - Street 2:STE. 101
Practice Address - City:MC KEES ROCKS
Practice Address - State:PA
Practice Address - Zip Code:15136-1356
Practice Address - Country:US
Practice Address - Phone:412-668-4444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-08
Last Update Date:2016-03-08
Deactivation Date:2016-01-29
Deactivation Code:
Reactivation Date:2016-03-07
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty