Healthcare Provider Details

I. General information

NPI: 1629026216
Provider Name (Legal Business Name): ADVANCED HEALTHCARE SYSTEMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 SAGERVILLE ROAD
HARRISON CITY PA
15636
US

IV. Provider business mailing address

206 SAGERVILLE ROAD
HARRISON CITY PA
15636
US

V. Phone/Fax

Practice location:
  • Phone: 724-744-2006
  • Fax: 724-744-0097
Mailing address:
  • Phone: 724-744-2006
  • Fax: 724-744-0097

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: ROBERT E WEIR
Title or Position: GENERAL MANAGER
Credential:
Phone: 724-744-2006