Provider Demographics
NPI:1730227307
Name:MULTI-CULTURAL HEALTH EVALUATION DELIVERY SYSTEMS INC
Entity type:Organization
Organization Name:MULTI-CULTURAL HEALTH EVALUATION DELIVERY SYSTEMS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:STUBBER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-453-6229
Mailing Address - Street 1:2928 PEACH ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16508-1843
Mailing Address - Country:US
Mailing Address - Phone:814-453-6229
Mailing Address - Fax:814-456-3731
Practice Address - Street 1:2928 PEACH ST
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16508-1843
Practice Address - Country:US
Practice Address - Phone:814-453-6229
Practice Address - Fax:814-456-3731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-03
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0011041350002Medicaid
PA1026455800002Medicaid
PA0011041350006Medicaid
PA19117YAWAMedicare PIN
PA1026455800001Medicaid