Provider Demographics
NPI:1932674009
Name:R-HEALTH PRIMARY CARE MEDICAL HOME PA LLC
Entity Type:Organization
Organization Name:R-HEALTH PRIMARY CARE MEDICAL HOME PA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF CLINICAL OPERATIONS OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:MEISINGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-600-4593
Mailing Address - Street 1:210 YORKTOWN PLZ
Mailing Address - Street 2:
Mailing Address - City:ELKINS PARK
Mailing Address - State:PA
Mailing Address - Zip Code:19027-1424
Mailing Address - Country:US
Mailing Address - Phone:215-600-4595
Mailing Address - Fax:
Practice Address - Street 1:2700 CLEMENS RD
Practice Address - Street 2:
Practice Address - City:HATFIELD
Practice Address - State:PA
Practice Address - Zip Code:19440-4202
Practice Address - Country:US
Practice Address - Phone:215-600-4590
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-04
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care