Healthcare Provider Details

I. General information

NPI: 1578627089
Provider Name (Legal Business Name): ASSOCIATED HEALTHCARE SYSTEMS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 08/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 E SOUTH ST
GENESEO NY
14454-1367
US

IV. Provider business mailing address

8730 HARRIS RD UNIT 204
BAKERSFIELD CA
93311-8990
US

V. Phone/Fax

Practice location:
  • Phone: 585-243-2670
  • Fax: 585-243-2678
Mailing address:
  • Phone: 661-396-3720
  • Fax: 661-832-6009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: JANE L THOMAS
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 415-893-1518