Provider Demographics
NPI:1376879437
Name:ALLIED HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:ALLIED HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-341-4642
Mailing Address - Street 1:703 S ELMER AVE
Mailing Address - Street 2:SUITE 108
Mailing Address - City:SAYRE
Mailing Address - State:PA
Mailing Address - Zip Code:18840-2400
Mailing Address - Country:US
Mailing Address - Phone:877-277-1309
Mailing Address - Fax:
Practice Address - Street 1:703 S ELMER AVE
Practice Address - Street 2:SUITE 108
Practice Address - City:SAYRE
Practice Address - State:PA
Practice Address - Zip Code:18840-2400
Practice Address - Country:US
Practice Address - Phone:877-277-1309
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-26
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA221350251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA221350OtherPA CERTIFICATE OF COMPLIANCE FOR PSYCHIATRIC REHABILITATION