1558341867 NPI number — PEOPLE IN NEED-LAWRENCE COUNTY

Table of content: (NPI 1578850426)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1558341867 NPI number — PEOPLE IN NEED-LAWRENCE COUNTY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PEOPLE IN NEED-LAWRENCE COUNTY
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:
1558341867
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/14/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2703 W STATE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW CASTLE
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
16101-8645
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-657-3303
Provider Business Mailing Address Fax Number:
724-657-3326

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2703 W STATE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
NEW CASTLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16101-8645
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-657-3303
Provider Business Practice Location Address Fax Number:
724-657-3326
Provider Enumeration Date:
01/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
KISSICK
Authorized Official First Name:
GAYLE
Authorized Official Middle Name:
L
Authorized Official Title or Position:
MEDICAL OFFICE ADMINISTRATOR
Authorized Official Telephone Number:
724-657-3303

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  400930 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251S00000X , with the licence number: 400930 , 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: 317380 . This is a "UPMC HEALTH PLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0007758127 . This is a "AETNA BEHAVIORAL HEALTH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1007449820011 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000000212529 . This is a "UNISON HEALTH PLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 332310 . This is a "VALUE OPTIONS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 850486 . This is a "HIGHMARK" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: DG1033 . This is a "RAILROAD MEDICARE/PALMETTO GBA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1007449820011 . This is a "CBHNP" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1892851 . This is a "HIGHMARK DOCTOR" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 2173831 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1000689 . This is a "COMMUNITY CARE BEHAVIORAL" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1007449820013 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 259666000 . This is a "MAGELLAN BEHAVIORALHEALTH" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 612225900 . This is a "US DEPARTMENT OF LABOR" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 830412 . This is a "HIGHMARK" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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