Provider Demographics
NPI:1598137218
Name:SIMPLEX HEALTH
Entity Type:Organization
Organization Name:SIMPLEX HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-963-2700
Mailing Address - Street 1:300 BROOKSIDE AVE STE 75
Mailing Address - Street 2:
Mailing Address - City:AMBLER
Mailing Address - State:PA
Mailing Address - Zip Code:19002-3436
Mailing Address - Country:US
Mailing Address - Phone:484-450-8488
Mailing Address - Fax:
Practice Address - Street 1:300 BROOKSIDE AVE STE 75
Practice Address - Street 2:
Practice Address - City:AMBLER
Practice Address - State:PA
Practice Address - Zip Code:19002-3436
Practice Address - Country:US
Practice Address - Phone:484-450-8488
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-21
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty