Provider Demographics
NPI:1184020232
Name:CARESTAT HEALTH INC
Entity Type:Organization
Organization Name:CARESTAT HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CECILIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SZMETENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-296-8800
Mailing Address - Street 1:110 SHADY LN
Mailing Address - Street 2:SUITE 2
Mailing Address - City:MILFORD
Mailing Address - State:PA
Mailing Address - Zip Code:18337-9420
Mailing Address - Country:US
Mailing Address - Phone:570-296-8800
Mailing Address - Fax:570-296-8802
Practice Address - Street 1:110 SHADY LN
Practice Address - Street 2:SUITE 2
Practice Address - City:MILFORD
Practice Address - State:PA
Practice Address - Zip Code:18337-9420
Practice Address - Country:US
Practice Address - Phone:570-296-8800
Practice Address - Fax:570-296-8802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-17
Last Update Date:2014-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP482492333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy