1023438082 NPI number — FAMILY BEHAVIORAL RESOURCES, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023438082 NPI number — FAMILY BEHAVIORAL RESOURCES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FAMILY BEHAVIORAL RESOURCES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023438082
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/17/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 879
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GREENSBURG
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15601-0879
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-850-1750
Provider Business Mailing Address Fax Number:
724-420-5318

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
313 W HIGH ST
Provider Second Line Business Practice Location Address:
STE 209
Provider Business Practice Location Address City Name:
EBENSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15931-1549
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-419-8046
Provider Business Practice Location Address Fax Number:
814-419-8274
Provider Enumeration Date:
04/17/2014

Additional Information

Authorized Official

Authorized Official Last Name:
FRIDG
Authorized Official First Name:
KAREN
Authorized Official Middle Name:
Authorized Official Title or Position:
DIR OF CLINICAL & BUSINESS SYSTEMS
Authorized Official Telephone Number:
724-850-1750

Provider Taxonomy Codes

  • Taxonomy code: 251B00000X , with the licence number:  422020 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1007624160036 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2026 www.npivalidator.com