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NPI Code Detail

MEDICARE: SOLIS HEALTHCARE, LP

MEDICARE: SOLIS HEALTHCARE, LP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center
2282N00000XGeneral Acute Care Hospital910401PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
109801OTHERHEALTH PARTNERS
21430OTHERAETNA US HEALTHCARE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4390304B000000OTHERSECTION 1011
51757000OTHERKEYSTONE HEALTH PLAN EAST
6318955OTHERPACIFICARE
79801OTHERHEALTH PARTNERS
8MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
1030042522OTHERKEYSTONE MERCY HEALTH PLA
11MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
120005633000OTHERPAINDEPENDENCE BLUE CROSS

General Provider Information

NPI Number : 1821020421
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOLIS HEALTHCARE, LP
Provider Business Mailing Address
First Line : 5800 RIDGE AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19128-1737
Country : US
Telephone Number : 215-487-4245
Fax Number : 215-487-4274
Provider Business Practice Location Address
First Line : 5800 RIDGE AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19128-1737
Country : US
Telephone Number : 215-487-4245
Fax Number : 215-487-4274
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MR. JOHN J DONNELLY JR.
Credential : CPA
Telephone Number : 215-487-4245
Provider Enumeration Date : 07/06/2006
Last Update Date : 08/24/2007

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