Healthcare Provider Details

I. General information

NPI: 1417499625
Provider Name (Legal Business Name): SOMERSET HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2016
Last Update Date: 04/15/2020
Certification Date: 04/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

867 W MAIN ST
SOMERSET PA
15501-1235
US

IV. Provider business mailing address

PO BOX 645900
PITTSBURGH PA
15264-5900
US

V. Phone/Fax

Practice location:
  • Phone: 814-444-6917
  • Fax:
Mailing address:
  • Phone: 814-443-5040
  • Fax: 814-443-5697

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number
License Number State

VIII. Authorized Official

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