Healthcare Provider Details

I. General information

NPI: 1477196905
Provider Name (Legal Business Name): SOMERSET HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2019
Last Update Date: 04/15/2020
Certification Date: 04/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

348 BUDFIELD ST
JOHNSTOWN PA
15904-3214
US

IV. Provider business mailing address

PO BOX 645900
PITTSBURGH PA
15264-5900
US

V. Phone/Fax

Practice location:
  • Phone: 814-262-3950
  • Fax: 814-262-3990
Mailing address:
  • Phone: 814-443-5040
  • Fax: 814-443-5697

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0602X
TaxonomyOtolaryngic Allergy Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. ANDREW G. RUSH
Title or Position: PRESIDENT
Credential:
Phone: 814-443-5221