EHS INC. NPI 1356390918

NPI Information

NPI: 1356390918
Provider Name: EHS, INC.

Doing Business As: EVERGREEN HEALTH SERVICES

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
206 S ELMWOOD AVE
BUFFALO, NY
ZIP 14201
Phone: (716) 847-0212
Get Directions

EHS, INC. is a primary care clinic center in Buffalo, NY. EHS, INC. NPI is 1356390918. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Evergreen Health Services.

The provider's business location address is:

206 S ELMWOOD AVE
BUFFALO, NY
ZIP 14201-398
Phone: (716) 847-0212
Fax: (716) 847-0418

The provider's authorized official is Jessica Anne Stack .
The authorized official title is Avp Of Revenue Cycle Mgmt and has the following contact phone number (716) 880-7399.

The CLIA number assigned to this NPI record is 33D0881570 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/9/2006 and was last updated on 11/29/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171M00000X	Case Manager/Care Coordinator		01218524	NEW YORK	No
2	207RI0200X	Internal Medicine	Infectious Disease			No
3	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			No
4	261QP2300X	Clinic/Center	Primary Care	01711366	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	02995357	MEDICAID	NEW YORK
2	0F332484	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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