Healthcare Provider Details
I. General information
NPI: 1316978885
Provider Name (Legal Business Name): UNITED HEALTH AND HOSPITAL SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/05/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2 SHARPE ST
KINGSTON PA
18704-3715
US
IV. Provider business mailing address
2 SHARPE ST
KINGSTON PA
18704-3715
US
V. Phone/Fax
- Phone: 570-552-8900
- Fax: 570-552-8958
- Phone: 570-552-8900
- Fax: 570-552-8958
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | PA |
VIII. Authorized Official
Name: DR.
RICHARD
B
ENGLISH
Title or Position: PROGRAM DIRECTOR
Credential: MD
Phone: 570-552-8900