Provider Demographics
NPI:1720267685
Name:ANCHOR HEALTH CENTERS PA
Entity Type:Organization
Organization Name:ANCHOR HEALTH CENTERS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CENTRAL BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:F
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-436-2839
Mailing Address - Street 1:1280 CREEKSIDE ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34108-1948
Mailing Address - Country:US
Mailing Address - Phone:239-596-8199
Mailing Address - Fax:239-643-9064
Practice Address - Street 1:1280 CREEKSIDE ST
Practice Address - Street 2:SUITE 101
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34108-1948
Practice Address - Country:US
Practice Address - Phone:239-596-8199
Practice Address - Fax:239-643-9064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-29
Last Update Date:2008-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL40916HOtherMEDICARE PTAN