Provider Demographics
NPI:1396939716
Name:ADAMS HEALTHCARE PC
Entity type:Organization
Organization Name:ADAMS HEALTHCARE PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:570-874-3002
Mailing Address - Street 1:PO BOX 525
Mailing Address - Street 2:246 S LEHIGH AVE
Mailing Address - City:FRACKVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17931
Mailing Address - Country:US
Mailing Address - Phone:570-874-3002
Mailing Address - Fax:570-874-2829
Practice Address - Street 1:246 S LEHIGH AVE
Practice Address - Street 2:
Practice Address - City:FRACKVILLE
Practice Address - State:PA
Practice Address - Zip Code:17931
Practice Address - Country:US
Practice Address - Phone:570-874-3002
Practice Address - Fax:570-874-2829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-29
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC005837L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA02581000OtherINDEPENDENCE BLUE CROSS
PA1561744OtherGATEWAY
PA115916OtherHEALTH PARTNERS
PA1442271OtherBLUE SHIELD
PA3941OtherGROUP
PA555589OtherAETNA
PA13416OtherPIN
PA7502497OtherAETNA
PAAD129352Medicare PIN
PAU51508Medicare UPIN