Organization
PRIME HEALTHCARE SERVICES LOWER BUCKS LLC
Active
Parent organization
PRIME HEALTHCARE SERVICES LOWER BUCKS LLC
Other names
LBH Physician Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRIME HEALTHCARE SERVICES LOWER BUCKS LLC
Authorized official
RADHA SAVITALA (DEPUTY GENERAL COUNSEL)
(909) 235-4309
Entity
Organization
Contact information
Practice address
501 BATH RD, BRISTOL, PA 19007-3101
(215) 785-9200
(215) 785-9039
Mailing address
501 BATH RD, BRISTOL, PA 19007-3101
(215) 785-9200
(215) 785-9039
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000348728
HIGHMARK BLUE SHIELD
PA
01
—
0776018000
IBC
PA
05
—
100745380 002
—
PA
01
—
30012055
KEYSTONE MERCY
PA
Enumeration date
04/11/2006
Last updated
04/14/2014
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