Provider Demographics
NPI:1962487181
Name:HEALTHCARE ASSOCIATES, INC.
Entity Type:Organization
Organization Name:HEALTHCARE ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ELADIO
Authorized Official - Middle Name:
Authorized Official - Last Name:MAZON
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:304-364-8976
Mailing Address - Street 1:608 ELK ST
Mailing Address - Street 2:PO BOX 389
Mailing Address - City:GASSAWAY
Mailing Address - State:WV
Mailing Address - Zip Code:26624-1136
Mailing Address - Country:US
Mailing Address - Phone:304-364-8976
Mailing Address - Fax:304-364-8978
Practice Address - Street 1:608 ELK ST
Practice Address - Street 2:
Practice Address - City:GASSAWAY
Practice Address - State:WV
Practice Address - Zip Code:26624-1136
Practice Address - Country:US
Practice Address - Phone:304-364-8976
Practice Address - Fax:304-364-8978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-09
Last Update Date:2008-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV0148313000Medicaid
WV046381800OtherMEDICAL EQUIPMENT SUPPLIE
WA1297466OtherMEDICAL EQUIPMENT SUPPLIE
WV000236676OtherMEDICAL EQUIPMENT
WV046381800OtherMEDICAL EQUIPMENT SUPPLIE