Healthcare Provider Details

I. General information

NPI: 1447562533
Provider Name (Legal Business Name): REGIONAL HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2010
Last Update Date: 09/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 HOLLAND ST
ERIE PA
16507-1526
US

IV. Provider business mailing address

215 HOLLAND ST
ERIE PA
16507-1526
US

V. Phone/Fax

Practice location:
  • Phone: 814-877-5510
  • Fax: 814-877-5518
Mailing address:
  • Phone: 814-877-5510
  • Fax: 814-877-5518

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: DAVID GIBBONS
Title or Position: PRESIDENT
Credential:
Phone: 814-877-7591