Provider Demographics
NPI:1750421301
Name:MED HEALTH SERVICES MANAGEMENT, LP
Entity type:Organization
Organization Name:MED HEALTH SERVICES MANAGEMENT, LP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:OLIVER
Authorized Official - Middle Name:W
Authorized Official - Last Name:CAMINOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-372-2035
Mailing Address - Street 1:200 JAMES PL
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-3445
Mailing Address - Country:US
Mailing Address - Phone:412-373-7900
Mailing Address - Fax:412-372-1645
Practice Address - Street 1:200 JAMES PL
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-3445
Practice Address - Country:US
Practice Address - Phone:412-373-7900
Practice Address - Fax:412-372-1645
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MED HEALTH SERVICES MANAGEMENT, LP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-06
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207UN0901X, 2085D0003X, 2085U0001X, 246ZE0600X
PA246ZE0600X, 291U00000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear CardiologyGroup - Multi-Specialty
No2085D0003XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic NeuroimagingGroup - Multi-Specialty
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Multi-Specialty
No246ZE0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherElectroneurodiagnosticGroup - Multi-Specialty
No291U00000XLaboratoriesClinical Medical LaboratoryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA251408887OtherTRICARE
OH251408887OtherMOLINA HEALTHCARE
000000630218OtherANTHEM BLUE CROSS BLUE SHIELD
PA0014304450016OtherPA MEDICAID FOR SKILLED NURSING FACILITIES
PA1361782OtherUNITED HEALTHCARE
1361782OtherUMWA
OH2868624Medicaid
PA284488OtherADVANTRA
PA284488OtherHEALTH AMERICA
CB9198OtherRAILROAD MEDICARE WITH PALMETTO GBA
PA0014304450017Medicaid
PA002125462OtherKEYSTONE HEALTH PLAN WEST
210657400OtherFEDERAL BLACK LUNG
OH000000243375OtherUNISON
PA251408887OtherDEVON
WV3810015726Medicaid
PA0527961OtherCIGNA
OH251408887OtherMOLINA HEALTHCARE
PA002125462OtherKEYSTONE HEALTH PLAN WEST
WV3810015726Medicaid