Provider Demographics
NPI:1700221033
Name:AUSTIN HEALTH SERVICES
Entity Type:Organization
Organization Name:AUSTIN HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEAD PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:VON OHLEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:512-947-9426
Mailing Address - Street 1:PO BOX 181014
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78718-1014
Mailing Address - Country:US
Mailing Address - Phone:512-947-9426
Mailing Address - Fax:
Practice Address - Street 1:10912 LONG DAY CV
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78754-5923
Practice Address - Country:US
Practice Address - Phone:512-947-9426
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-30
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health