NPIMap

Organization Active NPI

Regional Health Services, Inc.

Doing business as Vineyard Primary Care

  • Family Medicine Physician
  • North East, PA
National Provider Identifier
1578720108
Registry record updated Aug 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
REGIONAL HEALTH SERVICES, INC.
Doing business as
Vineyard Primary Care
Practice address
2060 N Pearl Street
North East, PA 16428-1926
Phone
(814) 877-7711
Fax
(814) 877-7715
NPI assigned
May 21, 2008
Organization subpart
Yes
Parent organization
REGIONAL HEALTH SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 30, 2013

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

Authorized official

Name
David Gibbons
Title
President
Phone
(814) 877-7591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2060 N Pearl Street
North East, PA 16428-1926

Mailing address

2060 N Pearl Street
North East, PA 16428-1926
Phone (814) 877-7711

Other names 1

  • Vineyard Primary Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
John R Pyles79 organizations share this tax ID, including this one
Part of
John R Pyles

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": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377820800000",
    "number": "1578720108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 N PEARL STREET",
            "city": "NORTH EAST",
            "state": "PA",
            "postal_code": "164281926",
            "telephone_number": "814-877-7711",
            "fax_number": "814-877-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 N PEARL STREET",
            "city": "NORTH EAST",
            "state": "PA",
            "postal_code": "164281926",
            "telephone_number": "814-877-7711",
            "fax_number": "814-877-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL HEALTH SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGIONAL HEALTH SERVICES, INC.",
        "enumeration_date": "2008-05-21",
        "last_updated": "2013-08-30",
        "status": "A",
        "authorized_official_last_name": "GIBBONS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-877-7591"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vineyard Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North East, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2013; 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.