Provider Demographics
NPI:1669592028
Name:ADVANCED HEALTH TECHNOLOGIES, INC.
Entity type:Organization
Organization Name:ADVANCED HEALTH TECHNOLOGIES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-655-7472
Mailing Address - Street 1:5640 HUDSON INDUSTRIAL PKWY
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236-5011
Mailing Address - Country:US
Mailing Address - Phone:330-342-8300
Mailing Address - Fax:330-342-8400
Practice Address - Street 1:5650 HUDSON INDUSTRIAL PKWY
Practice Address - Street 2:SUITE A
Practice Address - City:HUDSON
Practice Address - State:OH
Practice Address - Zip Code:44236
Practice Address - Country:US
Practice Address - Phone:866-552-5522
Practice Address - Fax:844-705-0156
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH02-0942250333600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes333600000XSuppliersPharmacy