Provider Demographics
NPI:1629580428
Name:ADVANCED PRIMARY CARE ASSOCIATES
Entity Type:Organization
Organization Name:ADVANCED PRIMARY CARE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:HLAVINKA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:610-730-8025
Mailing Address - Street 1:701 W UNION BLVD UNIT 5
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18018-3732
Mailing Address - Country:US
Mailing Address - Phone:610-897-2045
Mailing Address - Fax:610-897-2046
Practice Address - Street 1:701 W UNION BLVD UNIT 5
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-3732
Practice Address - Country:US
Practice Address - Phone:610-897-2045
Practice Address - Fax:610-897-2046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-02
Last Update Date:2017-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP017592363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty