Provider Demographics
NPI:1457529240
Name:REGIONAL HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:REGIONAL HEALTH SERVICES, INC.
Other - Org Name:HARBORCREEK FAMILY PHYSICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT, REGIONAL HEALTH SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:V
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:FIORENZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-877-6588
Mailing Address - Street 1:717 STATE ST
Mailing Address - Street 2:SUITE 16, LL
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16501-1341
Mailing Address - Country:US
Mailing Address - Phone:814-480-7100
Mailing Address - Fax:814-480-7604
Practice Address - Street 1:5241 BUFFALO RD
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16510-2391
Practice Address - Country:US
Practice Address - Phone:814-877-5100
Practice Address - Fax:814-877-5121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-14
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007293220172Medicaid
PA089686Medicare PIN