Provider Demographics
NPI:1437483369
Name:MED HEALTH SERVICE
Entity Type:Organization
Organization Name:MED HEALTH SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOSEPHINE
Authorized Official - Middle Name:C
Authorized Official - Last Name:ORIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-373-7900
Mailing Address - Street 1:2490 MOSSIDE BLVD
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146
Mailing Address - Country:US
Mailing Address - Phone:412-373-7900
Mailing Address - Fax:412-372-1645
Practice Address - Street 1:2490 MOSSIDE BLVD
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146
Practice Address - Country:US
Practice Address - Phone:412-373-7900
Practice Address - Fax:412-372-1645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-24
Last Update Date:2009-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD035918L174400000X
207UN0901X, 2085D0003X, 2085U0001X
PA39D0176771291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear CardiologyGroup - Multi-Specialty
No2085D0003XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic NeuroimagingGroup - Multi-Specialty
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Multi-Specialty
No291U00000XLaboratoriesClinical Medical LaboratoryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1361782OtherUNITED HEALTHCARE
PA481345OtherKEYSTONE HEALTH PLAN
OH000000243375OtherUNISON
PA481345OtherPA MEDICARE
PA0527961OtherCIGNA
PA284488OtherHEALTH AMERICA
PA0527961OtherCIGNA
PA481345OtherPA MEDICARE
PA481345OtherKEYSTONE HEALTH PLAN