Provider Demographics
NPI:1023410172
Name:APS HEALTHCARE
Entity type:Organization
Organization Name:APS HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:COLETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:RIEHL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-291-1300
Mailing Address - Street 1:700 N CENTRAL AVE
Mailing Address - Street 2:SUITE 550
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-1249
Mailing Address - Country:US
Mailing Address - Phone:818-291-1300
Mailing Address - Fax:
Practice Address - Street 1:700 N CENTRAL AVE
Practice Address - Street 2:SUITE 550
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-1249
Practice Address - Country:US
Practice Address - Phone:818-291-1300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-19
Last Update Date:2014-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization