Healthcare Provider Details

I. General information

NPI: 1467619163
Provider Name (Legal Business Name): REGIONAL HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2008
Last Update Date: 08/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7287 WEST RIDGE ROAD
FAIRVIEW PA
16415-2360
US

IV. Provider business mailing address

7287 WEST RIDGE ROAD
FAIRVIEW PA
16415-2360
US

V. Phone/Fax

Practice location:
  • Phone: 814-877-2360
  • Fax: 814-474-3561
Mailing address:
  • Phone: 814-877-2360
  • Fax: 814-474-3561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

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