Provider Demographics
NPI:1750304721
Name:PRIMARY CARE SUPPORT SERVICES INC
Entity Type:Organization
Organization Name:PRIMARY CARE SUPPORT SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:D
Authorized Official - Last Name:HELGERT
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:814-373-2260
Mailing Address - Street 1:31799 STATE HWY 408
Mailing Address - Street 2:
Mailing Address - City:TOWNVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16360-1903
Mailing Address - Country:US
Mailing Address - Phone:814-373-2260
Mailing Address - Fax:814-967-5205
Practice Address - Street 1:31799 STATE HWY 408
Practice Address - Street 2:
Practice Address - City:TOWNVILLE
Practice Address - State:PA
Practice Address - Zip Code:16360-1903
Practice Address - Country:US
Practice Address - Phone:814-373-2260
Practice Address - Fax:814-967-5205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2008-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMMGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PADN4964OtherRAILROAD MC GROUP
PA1021304370001Medicaid
PA577992Medicare PIN