Healthcare Provider Details
I. General information
NPI: 1598960643
Provider Name (Legal Business Name): ASSOCIATED HEALTHCARE SYSTEMS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/19/2007
Last Update Date: 04/25/2021
Certification Date: 04/25/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8056 TRANSIT RD
WILLIAMSVILLE NY
14221
US
IV. Provider business mailing address
220 W GERMANTOWN PIKE STE 250
PLYMOUTH MEETING PA
19462-1437
US
V. Phone/Fax
- Phone: 716-633-2788
- Fax: 716-633-2799
- Phone: 610-630-6357
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
STEPHEN
GRIGGS
Title or Position: CEO
Credential:
Phone: 407-206-0040