Provider Demographics
NPI:1467682484
Name:ASPIRE HEALTH CONCEPTS, INC
Entity Type:Organization
Organization Name:ASPIRE HEALTH CONCEPTS, INC
Other - Org Name:ASPIRE URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-901-3440
Mailing Address - Street 1:49 PRINCE STREET
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-3133
Mailing Address - Country:US
Mailing Address - Phone:717-901-3440
Mailing Address - Fax:714-901-3447
Practice Address - Street 1:49 PRINCE ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17109-3113
Practice Address - Country:US
Practice Address - Phone:717-901-3440
Practice Address - Fax:717-901-3447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-24
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA261QU0200X
PAMD072378L332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA105895OtherWHITE MEDICARE PTAN
PA706451OtherRAYNER MEDICARE PTAN
PA1386730711OtherWHITE NPI
PA1093770885OtherRAYNER NPI
PA1225278922OtherGROUP TYPE 2 NPI
PA706451OtherRAYNER MEDICARE PTAN