MEDICARE: HEALTHREACH MEDICAL CARE CORP.

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	171M00000X	Case Manager/Care Coordinator	PHL043628	ZZ

General Provider Information

NPI Number	:	1578796173
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHREACH MEDICAL CARE CORP.

Provider Business Mailing Address
First Line	:	RM 817 NORTH TOWER CATHEDRAL HEIGHTS
Second Line	:	279 E. RODRIGUEZ SR. BLVD,
City	:	QUEZON CITY
State	:	PHILIPPINES
Zip	:	1100
Country	:	PH
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	RM 817 NORTH TOWER CATHEDRAL HEIGHTS
Second Line	:	279 E. RODRIGUEZ SR. BLVD,
City	:	QUEZON CITY
State	:	PHILIPPINES
Zip	:	1100
Country	:	PH
Telephone Number	:	63-723-0101
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/CHAIRMAN
Name	:	MR. MARVIN JOHN SALCEDO REYES
Credential	:
Telephone Number	:	63-723-0101

Provider Enumeration Date	:	08/29/2009
Last Update Date	:	08/29/2009

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