Provider Demographics
NPI:1184897449
Name:CAMILLE'S FITNESS INC
Entity type:Organization
Organization Name:CAMILLE'S FITNESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CAMILLE
Authorized Official - Middle Name:A
Authorized Official - Last Name:CLARKE
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:412-367-7410
Mailing Address - Street 1:613 TARA DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-6509
Mailing Address - Country:US
Mailing Address - Phone:412-657-9258
Mailing Address - Fax:412-281-5483
Practice Address - Street 1:613 TARA DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-6509
Practice Address - Country:US
Practice Address - Phone:412-657-9258
Practice Address - Fax:412-281-5483
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-08
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization