Provider Demographics
NPI:1306810957
Name:TIOGA HEALTHCARE PROVIDERS 8, INC
Entity type:Organization
Organization Name:TIOGA HEALTHCARE PROVIDERS 8, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:CAHILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:570-724-4670
Mailing Address - Street 1:PO BOX 56
Mailing Address - Street 2:
Mailing Address - City:WELLSBORO
Mailing Address - State:PA
Mailing Address - Zip Code:16901-0056
Mailing Address - Country:US
Mailing Address - Phone:570-724-4670
Mailing Address - Fax:570-724-3896
Practice Address - Street 1:15 MEADE ST
Practice Address - Street 2:
Practice Address - City:WELLSBORO
Practice Address - State:PA
Practice Address - Zip Code:16901-1813
Practice Address - Country:US
Practice Address - Phone:570-724-4670
Practice Address - Fax:570-724-3896
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LAUREL HEALTH SYSTEMS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-02-13
Last Update Date:2007-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PADE9117OtherTRAVELERS MEDICARE
1809668OtherHIGHMARK BS
PA099372Medicare PIN