Provider Demographics
NPI:1679844435
Name:INVIVASPAN HEALTH, INC
Entity Type:Organization
Organization Name:INVIVASPAN HEALTH, INC
Other - Org Name:INVIVASPAN HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO AND PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:D
Authorized Official - Last Name:SENFT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-820-1015
Mailing Address - Street 1:100 PASSAVANT WAY
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-1318
Mailing Address - Country:US
Mailing Address - Phone:412-820-1015
Mailing Address - Fax:724-772-9642
Practice Address - Street 1:100 PASSAVANT WAY
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-1318
Practice Address - Country:US
Practice Address - Phone:412-820-1015
Practice Address - Fax:724-772-9642
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PASSAVANT MEMORIAL HOMES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-01-25
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center