Provider Demographics
NPI:1639150196
Name:SOMERSET MED SERVICES, INC.
Entity Type:Organization
Organization Name:SOMERSET MED SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:COYLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-443-1496
Mailing Address - Street 1:4309 GLADES PIKE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SOMERSET
Mailing Address - State:PA
Mailing Address - Zip Code:15501-1153
Mailing Address - Country:US
Mailing Address - Phone:814-443-1496
Mailing Address - Fax:814-445-5528
Practice Address - Street 1:4309 GLADES PIKE
Practice Address - Street 2:SUITE 200
Practice Address - City:SOMERSET
Practice Address - State:PA
Practice Address - Zip Code:15501-1153
Practice Address - Country:US
Practice Address - Phone:814-443-1496
Practice Address - Fax:814-445-5528
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Not Answered332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Not Answered332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1006807220004Medicaid
PA0426710001Medicare ID - Type UnspecifiedPROVIDER NUMBER