Provider Demographics
NPI:1194889493
Name:OLEAN GENERAL HEALTHCARE SYSTEMS, LLC.
Entity type:Organization
Organization Name:OLEAN GENERAL HEALTHCARE SYSTEMS, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATED HEALTHCARE SYSTEMS CEO
Authorized Official - Prefix:
Authorized Official - First Name:YEHOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-893-1518
Mailing Address - Street 1:8730 HARRIS RD
Mailing Address - Street 2:UNIT 204
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311-8990
Mailing Address - Country:US
Mailing Address - Phone:661-396-3720
Mailing Address - Fax:661-832-6009
Practice Address - Street 1:1285 E 2ND ST
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:NY
Practice Address - Zip Code:14701-1914
Practice Address - Country:US
Practice Address - Phone:716-664-2293
Practice Address - Fax:716-664-2218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-20
Last Update Date:2017-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02632680Medicaid
NY02632680Medicaid