Provider Demographics
NPI:1386090025
Name:SOMERSET HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:SOMERSET HEALTH SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:G
Authorized Official - Last Name:RUSH
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, MPT
Authorized Official - Phone:814-443-5221
Mailing Address - Street 1:PO BOX 645900
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15264-5900
Mailing Address - Country:US
Mailing Address - Phone:814-443-5040
Mailing Address - Fax:814-443-5697
Practice Address - Street 1:223 S PLEASANT AVE STE 402
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:PA
Practice Address - Zip Code:15501-2188
Practice Address - Country:US
Practice Address - Phone:814-443-5639
Practice Address - Fax:814-444-6977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-12
Last Update Date:2020-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD032998E208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PACI6140OtherRAILROAD MEDICARE
PA0015083500033Medicaid
PA003456511OtherHIGHMARK BLUE SHIELD
PA710929OtherMEDICARE