Provider Demographics
NPI:1891744710
Name:ADVENTIST WHOLEHEALTH NETWORK
Entity Type:Organization
Organization Name:ADVENTIST WHOLEHEALTH NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-685-9900
Mailing Address - Street 1:1025 BERKSHIRE BLVD
Mailing Address - Street 2:STE 700
Mailing Address - City:WYOMISSING
Mailing Address - State:PA
Mailing Address - Zip Code:19610-1227
Mailing Address - Country:US
Mailing Address - Phone:610-685-9900
Mailing Address - Fax:610-685-7171
Practice Address - Street 1:1025 BERKSHIRE BLVD
Practice Address - Street 2:STE 700
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-1227
Practice Address - Country:US
Practice Address - Phone:610-685-9900
Practice Address - Fax:610-685-7171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization