Provider Demographics
NPI:1093980021
Name:HEALTHCARE SERVICES INTERNATIONAL
Entity Type:Organization
Organization Name:HEALTHCARE SERVICES INTERNATIONAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DOMENIC
Authorized Official - Middle Name:
Authorized Official - Last Name:BOLOGNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-775-8671
Mailing Address - Street 1:3950 BRODHEAD RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:MONACA
Mailing Address - State:PA
Mailing Address - Zip Code:15061-3030
Mailing Address - Country:US
Mailing Address - Phone:724-775-8671
Mailing Address - Fax:724-728-9817
Practice Address - Street 1:3950 BRODHEAD RD
Practice Address - Street 2:SUITE 210
Practice Address - City:MONACA
Practice Address - State:PA
Practice Address - Zip Code:15061-3030
Practice Address - Country:US
Practice Address - Phone:724-775-8671
Practice Address - Fax:724-728-9817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-30
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation