Provider Demographics
NPI:1821255563
Name:REGIONAL HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:REGIONAL HEALTH SERVICES, INC.
Other - Org Name:CARDIAC FITNESS REHABILITATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:V
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:FIORENZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-877-6588
Mailing Address - Street 1:717 STATE STREET
Mailing Address - Street 2:SUITE 16, LL
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16501-1360
Mailing Address - Country:US
Mailing Address - Phone:814-480-7100
Mailing Address - Fax:814-480-7604
Practice Address - Street 1:3330 PEACH STREET
Practice Address - Street 2:SUITE LL
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16508-2769
Practice Address - Country:US
Practice Address - Phone:814-868-9674
Practice Address - Fax:814-866-5516
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REGIONAL HEALTH SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty