Provider Demographics
NPI:1881682615
Name:HEALTH ACCESS NETWORK
Entity Type:Organization
Organization Name:HEALTH ACCESS NETWORK
Other - Org Name:HAN PATHOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR BUS. OFFICE
Authorized Official - Prefix:
Authorized Official - First Name:GERALYN
Authorized Official - Middle Name:E
Authorized Official - Last Name:PATERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-497-7410
Mailing Address - Street 1:PO BOX 8500 2940
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-0001
Mailing Address - Country:US
Mailing Address - Phone:586-412-4369
Mailing Address - Fax:526-412-4037
Practice Address - Street 1:1 MEDICAL CENTER BLVD
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:PA
Practice Address - Zip Code:19013-3902
Practice Address - Country:US
Practice Address - Phone:610-447-2282
Practice Address - Fax:610-447-2254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-06
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical PathologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA100747447-0146Medicaid
PA401219OtherBLUE SHIELD
PA100747447-0146Medicaid
PA401219OtherBLUE SHIELD