Provider Demographics
NPI:1629026216
Name:ADVANCED HEALTHCARE SYSTEMS
Entity Type:Organization
Organization Name:ADVANCED HEALTHCARE SYSTEMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:E
Authorized Official - Last Name:WEIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-744-2006
Mailing Address - Street 1:206 SAGERVILLE ROAD
Mailing Address - Street 2:
Mailing Address - City:HARRISON CITY
Mailing Address - State:PA
Mailing Address - Zip Code:15636
Mailing Address - Country:US
Mailing Address - Phone:724-744-2006
Mailing Address - Fax:724-744-0097
Practice Address - Street 1:206 SAGERVILLE ROAD
Practice Address - Street 2:
Practice Address - City:HARRISON CITY
Practice Address - State:PA
Practice Address - Zip Code:15636
Practice Address - Country:US
Practice Address - Phone:724-744-2006
Practice Address - Fax:724-744-0097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0012673190003Medicaid
PA0334190001Medicare ID - Type Unspecified