Healthcare Provider Details

I. General information

NPI: 1598742546
Provider Name (Legal Business Name): ALLIED HEALTHCARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 CANAAN ST
CARBONDALE PA
18407-1441
US

IV. Provider business mailing address

100 ABINGTON EXECUTIVE PARK
CLARKS SUMMIT PA
18411-2258
US

V. Phone/Fax

Practice location:
  • Phone: 570-341-4317
  • Fax:
Mailing address:
  • Phone: 570-348-2911
  • Fax: 570-341-4646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code315P00000X
TaxonomyIntellectual Disabilities Intermediate Care Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. THOMAS PUGH
Title or Position: VICE PRESIDENT
Credential:
Phone: 570-826-3836