Provider Demographics
NPI:1467619163
Name:REGIONAL HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:REGIONAL HEALTH SERVICES, INC.
Other - Org Name:PRIMARY CARE PARTNERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:GIBBONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-877-7591
Mailing Address - Street 1:7287 WEST RIDGE ROAD
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW
Mailing Address - State:PA
Mailing Address - Zip Code:16415-2360
Mailing Address - Country:US
Mailing Address - Phone:814-877-2360
Mailing Address - Fax:814-474-3561
Practice Address - Street 1:7287 WEST RIDGE ROAD
Practice Address - Street 2:
Practice Address - City:FAIRVIEW
Practice Address - State:PA
Practice Address - Zip Code:16415-2360
Practice Address - Country:US
Practice Address - Phone:814-877-2360
Practice Address - Fax:814-474-3561
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REGIONAL HEALTH SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-20
Last Update Date:2013-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty