Provider Demographics
NPI: | 1689071664 |
---|---|
Name: | PARKVIEW HEALTH SERVICES, LLC |
Entity type: | Organization |
Organization Name: | PARKVIEW HEALTH SERVICES, LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | CEO |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | PAUL |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | O'LEARY |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 716-876-4092 |
Mailing Address - Street 1: | 3920 MAIN ST STE 100 |
Mailing Address - Street 2: | |
Mailing Address - City: | AMHERST |
Mailing Address - State: | NY |
Mailing Address - Zip Code: | 14226-3350 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 3920 MAIN ST STE 100 |
Practice Address - Street 2: | |
Practice Address - City: | AMHERST |
Practice Address - State: | NY |
Practice Address - Zip Code: | 14226-3350 |
Practice Address - Country: | US |
Practice Address - Phone: | 716-876-2323 |
Practice Address - Fax: | 716-876-1349 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2014-11-19 |
Last Update Date: | 2023-06-27 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 3336L0003X | Suppliers | Pharmacy | Long Term Care Pharmacy |
No | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | |
No | 3336S0011X | Suppliers | Pharmacy | Specialty Pharmacy |