Provider Demographics
NPI:1952520165
Name:ALTOONA REGIONAL PARTNERSHIP FOR A HEALTHY COMMUNITY
Entity Type:Organization
Organization Name:ALTOONA REGIONAL PARTNERSHIP FOR A HEALTHY COMMUNITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FIFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-889-6123
Mailing Address - Street 1:501 HOWARD AVE STE D103
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16601-4814
Mailing Address - Country:US
Mailing Address - Phone:814-889-6420
Mailing Address - Fax:814-889-6423
Practice Address - Street 1:501 HOWARD AVE STE D103
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16601-4814
Practice Address - Country:US
Practice Address - Phone:814-889-6420
Practice Address - Fax:814-889-6423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty