1356470207 NPI number — SERVICE ACCESS AND MANAGEMENT INC

Table of content: (NPI 1356470207)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356470207 NPI number — SERVICE ACCESS AND MANAGEMENT INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SERVICE ACCESS AND MANAGEMENT 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:
1356470207
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/25/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
19 N 6TH ST
Provider Second Line Business Mailing Address:
SUITE 300
Provider Business Mailing Address City Name:
READING
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19601-3582
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
610-236-0530
Provider Business Mailing Address Fax Number:
610-236-4895

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
19 N 6TH ST
Provider Second Line Business Practice Location Address:
SUITE 300
Provider Business Practice Location Address City Name:
READING
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19601-3582
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-236-0530
Provider Business Practice Location Address Fax Number:
610-236-4895
Provider Enumeration Date:
03/05/2007

Additional Information

Authorized Official

Authorized Official Last Name:
SEIDEL
Authorized Official First Name:
JENNIFER
Authorized Official Middle Name:
L
Authorized Official Title or Position:
CONTROLLER
Authorized Official Telephone Number:
610-236-4634

Provider Taxonomy Codes

  • Taxonomy code: 251B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 100006624 0042 . This is a "CLARION OP" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 100006624 0003 . This is a "BERKS CRISIS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1000491 . This is a "CCBH ID" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 100006624 0025 . This is a "HMJ TSM HUNTNGDON-HUNTINGDON COUNTY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 100006624 0021 . This is a "D AND A MH SUBSTANCE ABUSE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 100006624 0026 . This is a "HMJ TSM MIFFLINTOWN JUNIATA COUNTY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 100006624 . This is a "MEDICAL ASSISTANCE ID" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 100006624 0025 . This is a "HMJ TSM LEWISTOWN MIFFLIN COUNTY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1000066240092 . This is a "ALLEGHENY ID 400 PENN CENTER BOULEVARD SUITE 410 PITTSBURGH PA 15235" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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