Organization
AMERICAN HEALTHCARE NETWORK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGGIE BRINSON (PRESIDENT)
(215) 477-3851
Entity
Organization
Contact information
Practice address
5070 PARKSIDE AVE, SUITE 5101, BOX 48, PHILADELPHIA, PA 19131-4747
(215) 477-3851
Mailing address
PO BOX 28029, PHILADELPHIA, PA 19131-8029
(215) 477-3851
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000333000
INDEPENDENCE BCBS
PA
05
—
1015656270001
—
PA
01
—
30032107
KEYSTONE MERCY HEALTH
PA
01
—
36501
HEALTH PARTNERS PA
PA
Enumeration date
05/18/2006
Last updated
01/09/2008
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