Healthcare Provider Details

I. General information

NPI: 1114047966
Provider Name (Legal Business Name): SERVICE ACCESS AND MANAGEMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 06/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 N 6TH ST SUITE 300
READING PA
19601-3582
US

IV. Provider business mailing address

19 N 6TH ST SUITE 300
READING PA
19601-3582
US

V. Phone/Fax

Practice location:
  • Phone: 610-236-0530
  • Fax: 610-236-4895
Mailing address:
  • Phone: 610-236-0530
  • Fax: 610-236-4895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. JENNIFER LEIGH SEIDEL
Title or Position: DIRECTOR OF FISCAL OPERATIONS
Credential: MBA
Phone: 610-236-0530