Healthcare Provider Details
I. General information
NPI: 1689147050
Provider Name (Legal Business Name): HARTS AUTOMATED MEDICAL SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/08/2019
Last Update Date: 01/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1701 ADDISON NEW CARLISLE RD
NEW CARLISLE OH
45344-7500
US
IV. Provider business mailing address
6230 BALLENTINE PIKE
SPRINGFIELD OH
45502-8977
US
V. Phone/Fax
- Phone: 800-270-0580
- Fax: 888-244-1959
- Phone: 800-270-0580
- Fax: 888-244-1959
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 111NR0400X |
| Taxonomy | Rehabilitation Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
ALLEN
L
HART
Title or Position: PRESIDENT / CEO
Credential:
Phone: 800-270-0580