Provider Demographics
NPI:1104433911
Name:ALLIED HEALTH CARE SERVICES
Entity type:Organization
Organization Name:ALLIED HEALTH CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:KORGESKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-348-2911
Mailing Address - Street 1:100 ABINGTON EXECUTIVE PARK
Mailing Address - Street 2:
Mailing Address - City:CLARKS SUMMIT
Mailing Address - State:PA
Mailing Address - Zip Code:18411-2260
Mailing Address - Country:US
Mailing Address - Phone:570-348-2911
Mailing Address - Fax:570-341-4646
Practice Address - Street 1:3504 BEAR CREEK BLVD
Practice Address - Street 2:
Practice Address - City:BEAR CREEK TOWNSHIP
Practice Address - State:PA
Practice Address - Zip Code:18702-9760
Practice Address - Country:US
Practice Address - Phone:570-348-2911
Practice Address - Fax:570-341-4646
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALLIED HEALTH CARE SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-09-25
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA229670OtherPA DEPT OF HEALTH CERTIFICATE OF COMPLIANCE