Provider Demographics
NPI:1558904383
Name:EMPIRE HEALTHCARE SYSTEMS
Entity Type:Organization
Organization Name:EMPIRE HEALTHCARE SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:L
Authorized Official - Last Name:STATON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-782-3891
Mailing Address - Street 1:P.O. BOX 8918
Mailing Address - Street 2:
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-8918
Mailing Address - Country:US
Mailing Address - Phone:215-782-3891
Mailing Address - Fax:215-782-1187
Practice Address - Street 1:1420 LOCUST STREET
Practice Address - Street 2:SUITE #220
Practice Address - City:PHILA
Practice Address - State:PA
Practice Address - Zip Code:19102-4204
Practice Address - Country:US
Practice Address - Phone:215-546-0100
Practice Address - Fax:215-546-7225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-24
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty