MEDICARE: ALLIED HEALTH CARE SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	229670	OTHER	PA	PA DEPT OF HEALTH CERTIFICATE OF COMPLIANCE

General Provider Information

NPI Number	:	1104433911
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIED HEALTH CARE SERVICES

Provider Business Mailing Address
First Line	:	100 ABINGTON EXECUTIVE PARK
Second Line	:
City	:	CLARKS SUMMIT
State	:	PA
Zip	:	18411-2260
Country	:	US
Telephone Number	:	570-348-2911
Fax Number	:	570-341-4646

Provider Business Practice Location Address
First Line	:	3504 BEAR CREEK BLVD
Second Line	:
City	:	BEAR CREEK TOWNSHIP
State	:	PA
Zip	:	18702-9760
Country	:	US
Telephone Number	:	570-348-2911
Fax Number	:	570-341-4646

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MS. JUDY KORGESKI
Credential	:
Telephone Number	:	570-348-2911

Provider Enumeration Date	:	09/25/2020
Last Update Date	:	09/25/2020

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Directions to “ALLIED HEALTH CARE SERVICES ” Practice Location

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