Provider Demographics
NPI:1437133576
Name:HEALTHCARE PARTNERS, LLC
Entity Type:Organization
Organization Name:HEALTHCARE PARTNERS, LLC
Other - Org Name:PROMEDICAL EAST LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:F
Authorized Official - Last Name:DIMARCO
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFIED PEDORTHIST
Authorized Official - Phone:610-525-3162
Mailing Address - Street 1:1429 COUNTY LINE RD
Mailing Address - Street 2:
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-1604
Mailing Address - Country:US
Mailing Address - Phone:610-525-3162
Mailing Address - Fax:610-525-4009
Practice Address - Street 1:1429 COUNTY LINE RD
Practice Address - Street 2:
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-1604
Practice Address - Country:US
Practice Address - Phone:610-525-3162
Practice Address - Fax:610-525-4009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-02
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA6000005771332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA226221OtherADVANTRA CARELINK
OH2272955Medicaid
MI4344350Medicaid
PA5164OtherBC/BS
NJ8704805Medicaid
MN90171OtherHEALTH SENIOR PARTNERS
MN642648400Medicaid
FM90171OtherBCBS
KY90003799Medicaid
PAP2723785OtherAETNA
WI41731600Medicaid
PA8200594OtherUNITED EVERCARE
SCDM1174Medicaid
MI540H104220OtherBCBS
PA1861130Medicaid
MO625683800Medicaid
VA010145988Medicaid
CO54432383Medicaid
VA629315OtherANTHEM BCBS
NJ8704805Medicaid
VA629315OtherANTHEM BCBS