Provider Demographics
NPI:1326213067
Name:ASSOCIATES IN FAMILY HEALTH CARE INC.
Entity Type:Organization
Organization Name:ASSOCIATES IN FAMILY HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:GRANT
Authorized Official - Suffix:
Authorized Official - Credentials:MSN CRNP
Authorized Official - Phone:724-468-4099
Mailing Address - Street 1:3021 EMILIO CENTER
Mailing Address - Street 2:SUITE 3
Mailing Address - City:SLICKVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15684-0160
Mailing Address - Country:US
Mailing Address - Phone:724-468-4099
Mailing Address - Fax:724-468-3370
Practice Address - Street 1:3021 EMILIO CENTER
Practice Address - Street 2:SUITE 3
Practice Address - City:SLICKVILLE
Practice Address - State:PA
Practice Address - Zip Code:15684-0160
Practice Address - Country:US
Practice Address - Phone:724-468-4099
Practice Address - Fax:724-468-3370
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-24
Last Update Date:2013-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAUP001497B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA83048Medicaid
AS660803OtherBLUE CROSS S GROUP NUMBER 660803
AS660803OtherBLUE CROSS S GROUP NUMBER 660803