Provider Demographics
NPI:1568495273
Name:SOLIS HEALTHCARE, LP
Entity Type:Organization
Organization Name:SOLIS HEALTHCARE, LP
Other - Org Name:WARMINSTER HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT / CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:J
Authorized Official - Last Name:DONNELLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-487-4245
Mailing Address - Street 1:225 NEWTOWN RD
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-5221
Mailing Address - Country:US
Mailing Address - Phone:215-441-6600
Mailing Address - Fax:215-441-5677
Practice Address - Street 1:225 NEWTOWN RD
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-5221
Practice Address - Country:US
Practice Address - Phone:214-441-6600
Practice Address - Fax:215-441-5677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261Q00000X
PA23400100282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01999691Medicaid
PA1019096660004Medicaid
000422OtherHUMANA
KY01500560Medicaid
70565OtherAETNA US HEALTHCARE
WV9810520Medicaid
PA0005634000OtherINDEPENDENCE BLUE CROSS
NJ802-9601Medicaid
00013OtherHEALTH PARTNERS
390286B000000OtherSECTION 1011
30042523OtherKEYSTONE MERCY HEALTH PLA
NC3900286Medicaid
PA39-0286Medicare PIN