Provider Demographics
NPI:1578796173
Name:HEALTHREACH MEDICAL CARE CORP.
Entity Type:Organization
Organization Name:HEALTHREACH MEDICAL CARE CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CHAIRMAN
Authorized Official - Prefix:MR
Authorized Official - First Name:MARVIN JOHN
Authorized Official - Middle Name:SALCEDO
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:063-723-0101
Mailing Address - Street 1:RM 817 NORTH TOWER CATHEDRAL HEIGHTS
Mailing Address - Street 2:279 E. RODRIGUEZ SR. BLVD,
Mailing Address - City:QUEZON CITY
Mailing Address - State:PHILIPPINES
Mailing Address - Zip Code:1100
Mailing Address - Country:PH
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:RM 817 NORTH TOWER CATHEDRAL HEIGHTS
Practice Address - Street 2:279 E. RODRIGUEZ SR. BLVD,
Practice Address - City:QUEZON CITY
Practice Address - State:PHILIPPINES
Practice Address - Zip Code:1100
Practice Address - Country:PH
Practice Address - Phone:063-723-0101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-29
Last Update Date:2009-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ZZPHL043628171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty