Provider Demographics
NPI:1215268941
Name:BARVINCHACK ASSOCIATES L.L.C.
Entity type:Organization
Organization Name:BARVINCHACK ASSOCIATES L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:EVON
Authorized Official - Last Name:BARVINCHACK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:717-597-9470
Mailing Address - Street 1:PO BOX 460
Mailing Address - Street 2:
Mailing Address - City:GREENCASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:17225-0460
Mailing Address - Country:US
Mailing Address - Phone:717-597-9470
Mailing Address - Fax:717-597-1701
Practice Address - Street 1:11142 WILLIAMSPORT PIKE
Practice Address - Street 2:
Practice Address - City:GREENCASTLE
Practice Address - State:PA
Practice Address - Zip Code:17225-8516
Practice Address - Country:US
Practice Address - Phone:717-597-9470
Practice Address - Fax:717-597-1701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-20
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC001177L261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
T29153Medicare UPIN