Provider Demographics
NPI:1083494173
Name:HEALTH POWERS
Entity Type:Organization
Organization Name:HEALTH POWERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ERNEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-648-2234
Mailing Address - Street 1:13741 SW 72ND AVE
Mailing Address - Street 2:
Mailing Address - City:PALMETTO BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33158-1351
Mailing Address - Country:US
Mailing Address - Phone:765-808-3631
Mailing Address - Fax:
Practice Address - Street 1:13741 SW 72ND AVE
Practice Address - Street 2:
Practice Address - City:PALMETTO BAY
Practice Address - State:FL
Practice Address - Zip Code:33158-1351
Practice Address - Country:US
Practice Address - Phone:765-808-3631
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-05
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty