Organization Name: | SECURE HEALTH, LP |
NPI Number: | 1154592939 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRIAN D KLINGERMAN (VICE PRESIDENT) |
Mailing Address: | 700 W 3rd St Mount Carmel |
State: | PA US |
Postal Code: | 178511855 |
Phone Number: | 5703393909 |
Fax Number: | 5703391745 |
NPI Enumeration Date: | 03/19/2008 |
NPI Last Update Date: | 04/21/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Physical Therapy |
Taxonomy Definition: |