Provider Demographics
NPI:1265754998
Name:AMC HEALTH
Entity type:Organization
Organization Name:AMC HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:R.N.
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CARBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-746-1447
Mailing Address - Street 1:PO BOX 9471
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16505
Mailing Address - Country:US
Mailing Address - Phone:814-746-2747
Mailing Address - Fax:814-879-0969
Practice Address - Street 1:2626 SIGSBEE STREET
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16508-1808
Practice Address - Country:US
Practice Address - Phone:814-746-2747
Practice Address - Fax:814-879-0969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-22
Last Update Date:2018-02-28
Deactivation Date:2015-11-20
Deactivation Code:
Reactivation Date:2018-02-28
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction MedicineGroup - Single Specialty