Provider Demographics
NPI:1154318079
Name:AMERICAN HEALTH CARE SERVICES, INC
Entity Type:Organization
Organization Name:AMERICAN HEALTH CARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-788-7692
Mailing Address - Street 1:2014 FORD RD
Mailing Address - Street 2:SUITE M
Mailing Address - City:BRISTOL
Mailing Address - State:PA
Mailing Address - Zip Code:19007-6743
Mailing Address - Country:US
Mailing Address - Phone:215-788-7692
Mailing Address - Fax:215-788-7694
Practice Address - Street 1:2014 FORD RD
Practice Address - Street 2:SUITE M
Practice Address - City:BRISTOL
Practice Address - State:PA
Practice Address - Zip Code:19007-6743
Practice Address - Country:US
Practice Address - Phone:215-788-7692
Practice Address - Fax:215-788-7694
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-05
Last Update Date:2011-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA6000005194332B00000X
NJ0814751332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0016770860001Medicaid
PA0016770860001Medicaid