Edge Medical Services

Key facts

NPI

1679324503

Entity type

Organization (NPI type 2)

Primary specialty

Birthing Clinic/Center 261QB0400X

Legal business name

EDGE MEDICAL SERVICES

Practice address

2699 Conway Wallrose Rd
Freedom, PA 15042-2729

Phone

(800) 348-4623

Fax

(800) 348-4623

NPI assigned

Mar 28, 2024

Organization subpart

Yes

Parent organization (as reported)

EDGE MEDICAL SERVICES

Authorized official

Name

Nora Hernandez

Title

Office Staff

Phone

(800) 348-4623

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

• Edge Medical Services Birthing Clinic/Center · Lancaster, PA · NPI 1649164682
  NPD tax ID
• Edge Medical Services Birthing Clinic/Center · Easton, PA · NPI 1659250066
  NPD tax ID
• Edge Medical Services Birthing Clinic/Center · Stroudsburg, PA · NPI 1922987338
  NPD tax ID

National Provider Directory

Tax ID family

Edge Medical Services (92 organizations share this tax ID)

Part of

Edge Medical Services

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 22, 2024.

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734825600000",
    "number": "1679324503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 N LOOP 1604 E # 105187",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321339",
            "telephone_number": "800-348-4623",
            "fax_number": "800-348-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2699 CONWAY WALLROSE RD",
            "city": "FREEDOM",
            "state": "PA",
            "postal_code": "150422729",
            "telephone_number": "800-348-4623",
            "fax_number": "800-348-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGE MEDICAL SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EDGE MEDICAL SERVICES",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-12-22",
        "certification_date": "2024-12-22",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "NORA",
        "authorized_official_title_or_position": "OFFICE STAFF",
        "authorized_official_telephone_number": "800-348-4623"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Freedom, PA · Birthing Clinic/Center in Pennsylvania