Activate Healthcare - Utz

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ACTIVATE HEALTHCARE - UTZ

Practice address

240 Kindig LN
Plant #5
Hanover, PA 17331-1732

Phone

(773) 697-3144

NPI assigned

Sep 6, 2016

Last updated

Sep 6, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Debra Geihsler

Title

Principal

Phone

(773) 697-3144

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1473120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473120000000",
    "number": "1639626872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 KINDIG LN",
            "address_2": "PLANT #5",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311732",
            "telephone_number": "773-697-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 KINDIG LN",
            "address_2": "PLANT #5",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173311732",
            "telephone_number": "773-697-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVATE HEALTHCARE - UTZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-06",
        "last_updated": "2016-09-06",
        "status": "A",
        "authorized_official_last_name": "GEIHSLER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "773-697-3144"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Hanover, PA
• Providers in Hanover, PA by specialty
• Primary Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2016; 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.