Provider Demographics
NPI:1326209768
Name:SOMERSET HEALTH SERVICES INC
Entity Type:Organization
Organization Name:SOMERSET HEALTH SERVICES INC
Other - Org Name:SOMERSET SURGICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:G
Authorized Official - Last Name:RUSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-445-5221
Mailing Address - Street 1:PO BOX 645900
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15264-5900
Mailing Address - Country:US
Mailing Address - Phone:814-443-5040
Mailing Address - Fax:814-443-5697
Practice Address - Street 1:126 E CHURCH ST
Practice Address - Street 2:SUITE 2100
Practice Address - City:SOMERSET
Practice Address - State:PA
Practice Address - Zip Code:15501-2271
Practice Address - Country:US
Practice Address - Phone:814-443-2100
Practice Address - Fax:814-443-2112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-18
Last Update Date:2020-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015083500028Medicaid
PACI6140OtherRAILROAD MEDICARE
PA002047198OtherHIGHMARK BLUE SHIELD