Healthcare Provider Details

I. General information

NPI: 1457719650
Provider Name (Legal Business Name): QUALITY HEALTH ALLIANCE-ACO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2016
Last Update Date: 02/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 LANGHORNE NEWTOWN RD
LANGHORNE PA
19047-1201
US

IV. Provider business mailing address

1201 LANGHORNE NEWTOWN RD
LANGHORNE PA
19047-1201
US

V. Phone/Fax

Practice location:
  • Phone: 215-710-2085
  • Fax: 215-710-7420
Mailing address:
  • Phone: 215-710-2085
  • Fax: 215-710-7420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. SHARON HOPKINS
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 215-710-2085