Provider Demographics
NPI:1992340921
Name:ASPIRA HEALTH
Entity type:Organization
Organization Name:ASPIRA HEALTH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:OBENSCHAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-520-3271
Mailing Address - Street 1:10320 WINNERS CIRCLE WAY
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-5739
Mailing Address - Country:US
Mailing Address - Phone:301-520-3271
Mailing Address - Fax:
Practice Address - Street 1:18068 COASTAL HWY
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-4901
Practice Address - Country:US
Practice Address - Phone:302-567-1500
Practice Address - Fax:302-258-0942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-13
Last Update Date:2019-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Multi-Specialty