Clearfield-Jefferson Mhmr Program in Brockway - Case Management

Clearfield-Jefferson Mhmr Program - NPI 1053476879

Clearfield-Jefferson Mhmr Program is a Case Management in Brockway, Pennsylvania. Clearfield-Jefferson Mhmr Program practices all healthcare services and medical treatments related to Case Management. The NPI Number for Clearfield-Jefferson Mhmr Program is 1053476879. The last update date is 2020-08-22.

Clearfield-Jefferson Mhmr Program's current location address is 1200 Wood St Ste U110, Brockway, Pennsylvania. You can contact this provider via phone number 8142651060 and fax number 8142651049. The mailing address for Clearfield-Jefferson Mhmr Program is 1200 Wood St Ste U110, Brockway, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Organization Clearfield-Jefferson Mhmr Program
Address 1200 Wood St Ste U110, Brockway, Pennsylvania
Phone Number 8142651060
Fax Number 8142651049
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Dushac Colette
Telephone Number 8142651060

NPI Number Detail

NPI Number 1053476879
Provider Enumeration Date 2006-12-22
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1200 Wood St Ste U110
City Brockway
State Pennsylvania (PA)
Post Code 158242118
Phone Number 8142651060
Fax Number 8142651049

Provider's Primary Taxonomy Detail

Speciality Case Management
Taxonomy 251B00000X
Definition:
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1007332450006 PA --

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FAQs about Clearfield-Jefferson Mhmr Program

What is the unique 10-digit identification code assigned to Clearfield-Jefferson Mhmr Program by the Centers for Medicare & Medicaid Services?

The Clearfield-Jefferson Mhmr Program has been issued the NPI (National Provider Identifier) 1053476879, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Clearfield-Jefferson Mhmr Program is physically located?

The Clearfield-Jefferson Mhmr Program is physically situated at the following address: 1200 Wood St Ste U110, Brockway, PA, 158242118.

What is Clearfield-Jefferson Mhmr Program's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Clearfield-Jefferson Mhmr Program's specialized field of practice is Case Management, and the corresponding taxonomy code that categorizes this area of specialization is 251B00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1053476879 to Clearfield-Jefferson Mhmr Program?

The Centers for Medicare & Medicaid Services originally issued the 1053476879 to Clearfield-Jefferson Mhmr Program on 2006-12-22.

When was the information related to Clearfield-Jefferson Mhmr Program most recently updated or refreshed?

The details pertaining to the Clearfield-Jefferson Mhmr Program, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.

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