Provider Demographics
NPI:1659017754
Name:CARING HEALTHCARE NETWORK RICHLAND, LLC
Entity Type:Organization
Organization Name:CARING HEALTHCARE NETWORK RICHLAND, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CANDICE
Authorized Official - Middle Name:
Authorized Official - Last Name:WIDUCH-MERT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:814-298-7428
Mailing Address - Street 1:1481 EISENHOWER BLVD
Mailing Address - Street 2:
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15904-3217
Mailing Address - Country:US
Mailing Address - Phone:814-298-7428
Mailing Address - Fax:814-536-1044
Practice Address - Street 1:1481 EISENHOWER BLVD
Practice Address - Street 2:
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15904-3217
Practice Address - Country:US
Practice Address - Phone:814-298-7428
Practice Address - Fax:814-536-1044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-11
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2E3811OtherMEDICARE