Provider Demographics
NPI:1528197399
Name:FAMILY HEALTHCARE PARTNERS
Entity Type:Organization
Organization Name:FAMILY HEALTHCARE PARTNERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:KEIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-662-3943
Mailing Address - Street 1:430 HILLCREST AVE
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16127-1708
Mailing Address - Country:US
Mailing Address - Phone:724-458-5872
Mailing Address - Fax:724-458-5972
Practice Address - Street 1:430 HILLCREST AVE
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:PA
Practice Address - Zip Code:16127-1708
Practice Address - Country:US
Practice Address - Phone:724-458-5872
Practice Address - Fax:724-458-5972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1530870Medicaid
PA1530870Medicaid