Provider Demographics
NPI:1124285531
Name:REGIONAL HEALTH SERVICES INC
Entity type:Organization
Organization Name:REGIONAL HEALTH SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:ROEBACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-877-4242
Mailing Address - Street 1:717 STATE STREET
Mailing Address - Street 2:SUITE 16 LL
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16501-1360
Mailing Address - Country:US
Mailing Address - Phone:814-480-7100
Mailing Address - Fax:814-480-7604
Practice Address - Street 1:3330 PEACH STREET
Practice Address - Street 2:SUITE 106
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16508-2769
Practice Address - Country:US
Practice Address - Phone:814-877-5500
Practice Address - Fax:814-877-5508
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REGIONAL HEALTH SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-22
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory