Healthcare Provider Details
I. General information
NPI: 1891799573
Provider Name (Legal Business Name): HEALTH SOLUTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/09/2005
Last Update Date: 02/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
101 S 10TH ST
LEHIGHTON PA
18235-1701
US
IV. Provider business mailing address
101 S 10TH ST
LEHIGHTON PA
18235-1701
US
V. Phone/Fax
- Phone: 610-379-0300
- Fax: 610-379-4599
- Phone: 610-379-0300
- Fax: 610-379-4599
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BX2000X |
| Taxonomy | Oxygen Equipment & Supplies (DME) |
| License Number | 81962174 |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | 81962174 |
| License Number State | PA |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
| # 1 | |
| Identifier | 227042 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | PA BCBS |
| # 2 | |
| Identifier | 0018344190001 |
| Identifier Type | MEDICAID |
| Identifier State | PA |
| Identifier Issuer | |
| # 3 | |
| Identifier | 040046400 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | BLACK LUNG PROVIDER # |
| # 4 | |
| Identifier | 50014392 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | CAPITAL BLUE PROVIDER # |
VIII. Authorized Official
Name:
JOHN
GVODAS JR
Title or Position: PRESIDENT
Credential:
Phone: 484-390-0378