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Organization
OMNI HEALTH SERVICES, INC.
Active
Organization
OMNI HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL THEVAR (PRESIDENT)
(267) 718-5022
Entity
Organization
Contact information
Practice address
1246 WEST TILGHMAN STREET, ALLENTOWN, PA 18101-1503
(484) 221-8296
Mailing address
PO BOX 454, MONTGOMERYVILLE, PA 18936-0454
(215) 997-2000
(215) 997-2282
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
130030
PA
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020016630001
—
PA
05
—
1020016630026
—
PA
05
—
1020016630028
—
PA
Enumeration date
04/22/2013
Last updated
08/17/2022
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