Provider Demographics
NPI:1518682533
Name:ALLIANCE PRIMARY HEALTH PC
Entity Type:Organization
Organization Name:ALLIANCE PRIMARY HEALTH PC
Other - Org Name:INDUSTRY HEALTH SOLUTIONS, INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:HR DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:OFFNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:126-738-9921
Mailing Address - Street 1:840 HARLEYSVILLE PIKE STE 4
Mailing Address - Street 2:
Mailing Address - City:HARLEYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19438-1028
Mailing Address - Country:US
Mailing Address - Phone:267-389-9218
Mailing Address - Fax:215-902-9335
Practice Address - Street 1:2700 CLEMENS RD
Practice Address - Street 2:
Practice Address - City:HATFIELD
Practice Address - State:PA
Practice Address - Zip Code:19440-4202
Practice Address - Country:US
Practice Address - Phone:267-389-9218
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-12
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty