Organization
OMNI HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN MONTGOMERY (CREDENTIALING)
(215) 997-2000
Entity
Organization
Contact information
Practice address
6930 MARKET ST FL 2, UPPER DARBY, PA 19082-2308
(215) 997-2000
Mailing address
PO BOX 454, MONTGOMERYVILLE, PA 18936-0454
(215) 997-2000
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102001663-0022
—
PA
05
—
102001663-0025
—
PA
05
—
102001663-0041
—
PA
Enumeration date
11/08/2021
Last updated
12/05/2025
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