NPIMap

Organization Active NPI

Regional Health Services, Inc

Doing business as Glenwood Family Practice

  • Clinical Medical Laboratory
  • Erie, PA
National Provider Identifier
1164690954
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
REGIONAL HEALTH SERVICES, INC
Doing business as
Glenwood Family Practice
Practice address
3330 Peach St
Suite 107
Erie, PA 16508-2769
Phone
(814) 877-5500
Fax
(814) 877-5508
NPI assigned
Feb 14, 2008
Last updated
Feb 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
V James Fiorenzo
Title
President, Regional Health Services
Phone
(814) 877-6588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

3330 Peach St
Suite 107
Erie, PA 16508-2769

Mailing address

717 State St
Suite 16, LL
Erie, PA 16501-1341
Phone (814) 480-7100

Other identifiers 1

IdentifierTypeStateIssuer
1007293220169MedicaidPA

Other names 1

  • Glenwood Family Practice Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Regional Health Service79 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1164690954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 STATE ST",
            "address_2": "SUITE 16, LL",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011341",
            "telephone_number": "814-480-7100",
            "fax_number": "814-480-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 PEACH ST",
            "address_2": "SUITE 107",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165082769",
            "telephone_number": "814-877-5500",
            "fax_number": "814-877-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "FIORENZO",
        "authorized_official_first_name": "V",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT, REGIONAL HEALTH SERVICES",
        "authorized_official_telephone_number": "814-877-6588"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007293220169",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glenwood Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.