Healthcare Provider Details
I. General information
NPI: 1659467439
Provider Name (Legal Business Name): SOMERSET HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/05/2006
Last Update Date: 04/15/2020
Certification Date: 04/15/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
126 EAST CHURCH ST SUITE 2300
SOMERSET PA
15501
US
IV. Provider business mailing address
PO BOX 645900
PITTSBURGH PA
15264-5900
US
V. Phone/Fax
- Phone: 814-443-2888
- Fax: 814-443-1789
- Phone: 814-443-5040
- Fax: 814-443-5697
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANDREW
G
RUSH
Title or Position: PRESIDENT
Credential:
Phone: 814-443-5221