NPIMap

Organization Active NPI

Regional Health Services, Inc.

Doing business as Merline Family Medicine

  • Clinical Medical Laboratory
  • Erie, PA
National Provider Identifier
1912217274
Registry record updated Oct 20, 2010
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
Merline Family Medicine
Practice address
17 Merline Ave
Erie, PA 16509-1567
Phone
(814) 868-9484
Fax
(814) 866-5904
NPI assigned
Oct 20, 2010
Organization subpart
Yes
Parent organization
REGIONAL HEALTH SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

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

Authorized official

Name
Jason N Roeback
Title
President
Phone
(814) 877-4242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

17 Merline Ave
Erie, PA 16509-1567

Mailing address

717 State St Ste 16
Erie, PA 16501-1360
Phone (814) 877-7100

Other names 1

  • Merline Family Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bayview Medical Group79 organizations share this tax ID, including this one
Part of
Bayview Medical Group

Organizations with this tax ID in the same state 21

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

View all 21

Locations

717 State St
Ste 16
Erie, PA 16501
Phone (814) 877-3819

NPI Registry JSON

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1912217274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 STATE ST STE 16",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165011360",
            "telephone_number": "814-877-7100",
            "fax_number": "814-877-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 MERLINE AVE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165091567",
            "telephone_number": "814-868-9484",
            "fax_number": "814-866-5904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL HEALTH SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REGIONAL HEALTH SERVICES, INC.",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "ROEBACK",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-877-4242"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merline 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 Oct 20, 2010; 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.