Healthcare Provider Details

I. General information

NPI: 1457515546
Provider Name (Legal Business Name): REGIONAL HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2008
Last Update Date: 07/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 EAST 2ND STREET 4TH FLOOR
ERIE PA
16507-1537
US

IV. Provider business mailing address

717 STATE STREET SUITE 16, LL
ERIE PA
16501-1360
US

V. Phone/Fax

Practice location:
  • Phone: 814-453-6751
  • Fax: 814-456-1859
Mailing address:
  • Phone: 814-480-7100
  • Fax: 814-480-7604

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: V JAMES FIORENZO
Title or Position: PRESIDENT
Credential:
Phone: 814-877-6588