Healthcare Provider Details

I. General information

NPI: 1649300047
Provider Name (Legal Business Name): FAMILY HEALTHCARE PARTNERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 EAST MERCER ST.
HARRISVILLE PA
16038
US

IV. Provider business mailing address

321 EAST MERCER ST.
HARRISVILLE PA
16038
US

V. Phone/Fax

Practice location:
  • Phone: 724-735-4241
  • Fax: 724-735-4240
Mailing address:
  • Phone: 724-735-4241
  • Fax: 724-735-4240

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: LINDA KEIL
Title or Position: BUSINESS MANAGER
Credential:
Phone: 724-662-3943