NPIMap

Organization Active NPI

Regional Health Services Inc

Doing business as Bayside Family Medicine

  • Clinical Medical Laboratory
  • Erie, PA
National Provider Identifier
1770740177
Registry record updated May 22, 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
Bayside Family Medicine
Practice address
510 Cranberry St
Suite 200
Erie, PA 16507-1078
Phone
(814) 877-5274
Fax
(814) 877-5882
NPI assigned
May 22, 2008
Last updated
May 22, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
REGIONAL HEALTH SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
V James Fiorenzo
Title
Credentialing Coordinator
Phone
(814) 877-6588

Specialties & licenses 1

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

Addresses

Primary practice location

510 Cranberry St
Suite 200
Erie, PA 16507-1078

Mailing address

717 State Street
Suite 16 LL
Erie, PA 16501-1360
Phone (814) 480-7100

Other names 1

  • Bayside Family Medicine Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0956756Bayside Family Medicine510 Cranberry Street, Suite 200, Erie, PA 16507Provider-performed microscopyFeb 2, 2027

National Provider Directory

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

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": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1770740177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 STATE STREET",
            "address_2": "SUITE 16 LL",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011360",
            "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": "510 CRANBERRY ST",
            "address_2": "SUITE 200",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165071078",
            "telephone_number": "814-877-5274",
            "fax_number": "814-877-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL HEALTH SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGIONAL HEALTH SERVICES INC",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "FIORENZO",
        "authorized_official_first_name": "V",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "814-877-6588"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bayside Family Medicine",
            "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 May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.