Provider Demographics
NPI:1396146445
Name:DAUPHIN MEDHEALTH COMPANY
Entity type:Organization
Organization Name:DAUPHIN MEDHEALTH COMPANY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RONG
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHENG
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:914-886-8001
Mailing Address - Street 1:722 ALLEGHENY ST
Mailing Address - Street 2:STE 1
Mailing Address - City:DAUPHIN
Mailing Address - State:PA
Mailing Address - Zip Code:17018-8902
Mailing Address - Country:US
Mailing Address - Phone:717-474-8343
Mailing Address - Fax:717-474-8326
Practice Address - Street 1:722 ALLEGHENY ST
Practice Address - Street 2:STE 1
Practice Address - City:DAUPHIN
Practice Address - State:PA
Practice Address - Zip Code:17018-8902
Practice Address - Country:US
Practice Address - Phone:717-474-8343
Practice Address - Fax:717-474-8326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-09
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3336I0012X
PAPP411726L333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy
No3336I0012XSuppliersPharmacyInstitutional Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2149530OtherPK