Provider Demographics
NPI:1689853129
Name:ANCHOR HEALTH CENTERS PA
Entity Type:Organization
Organization Name:ANCHOR HEALTH CENTERS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CENTRAL BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:F
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-436-2839
Mailing Address - Street 1:800 GOODLETTE RD N
Mailing Address - Street 2:SUITE 350
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102-5400
Mailing Address - Country:US
Mailing Address - Phone:239-643-8720
Mailing Address - Fax:239-262-3494
Practice Address - Street 1:800 GOODLETTE RD N
Practice Address - Street 2:SUITE 350
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102-5400
Practice Address - Country:US
Practice Address - Phone:239-643-8720
Practice Address - Fax:239-262-3494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-01
Last Update Date:2008-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
40916IOtherMEDICARE PTAN