Basic Information
Provider Information
NPI: 1003114711
EntityType: 2
ReplacementNPI:  
OrganizationName: ASSOCIATED HEALTHCARE SYSTEMS INC
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Mailing Information
Address1: 8730 HARRIS RD
Address2: UNIT 204
City: BAKERSFIELD
State: CA
PostalCode: 933118990
CountryCode: US
TelephoneNumber: 6613963720
FaxNumber: 6618326009
Practice Location
Address1: 6105 TRANSIT RD
Address2: STE 105
City: EAST AMHERST
State: NY
PostalCode: 140512611
CountryCode: US
TelephoneNumber: 7165644500
FaxNumber: 7165644511
Other Information
ProviderEnumerationDate: 03/03/2011
LastUpdateDate: 08/27/2013
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AuthorizedOfficialLastName: THOMAS
AuthorizedOfficialFirstName: JANE
AuthorizedOfficialMiddleName: L
AuthorizedOfficialTitleorPosition: CHIEF EXECUTIVE OFFICER
AuthorizedOfficialTelephone: 4158931518
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IsOrganizationSubpart: N
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Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
332BX2000X  Y SuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies

No ID Information.


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