1487623823 NPI number — HEALTH SERVICES OF CLARION, INC.

Table of content: (NPI 1487623823)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487623823 NPI number — HEALTH SERVICES OF CLARION, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEALTH SERVICES OF CLARION, 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:
A-C VALLEY MEDICAL CENTER
Provider Other Organization Name Type Code:
3
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:
1487623823
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
121 DOCTORS LANE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CLARION
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
16214-8515
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
814-226-3470
Provider Business Mailing Address Fax Number:
814-226-3479

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
855 ROUTE 58
Provider Second Line Business Practice Location Address:
SUITE 1
Provider Business Practice Location Address City Name:
PARKER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16049-7029
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-659-5601
Provider Business Practice Location Address Fax Number:
724-659-3544
Provider Enumeration Date:
03/17/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BEICHNER
Authorized Official First Name:
CONNIE
Authorized Official Middle Name:
JEAN
Authorized Official Title or Position:
EXECUTIVE DIRECTOR
Authorized Official Telephone Number:
814-226-3470

Provider Taxonomy Codes

  • Taxonomy code: 207Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1539426 . This is a "GATEWAY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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