Provider Demographics
NPI:1700382066
Name:SOAR CORP
Entity Type:Organization
Organization Name:SOAR CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING INSURANCE SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:K
Authorized Official - Last Name:CAMPLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-931-1217
Mailing Address - Street 1:9150 MARSHALL ST STE 18
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19114-2217
Mailing Address - Country:US
Mailing Address - Phone:215-464-4450
Mailing Address - Fax:215-464-4470
Practice Address - Street 1:655 LOUIS DR
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974
Practice Address - Country:US
Practice Address - Phone:215-464-4450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-04
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251S00000X
PA261QM2800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone
No251S00000XAgenciesCommunity/Behavioral Health