Pennsylvania Associates, LLC
Clinic/Center, Methadone Clinic in Mount Pocono, Pennsylvania
1447580584- Practice location
- 1151 Mount Pocono Blvd, Suite 3, Mount Pocono, PA 18344
- Phone
- 570-839-7246
- Fax
- 570-839-7248
- Last updated
- July 23, 2026
Pennsylvania Associates, LLC is a healthcare organization based in Mount Pocono, PA. Pennsylvania Associates, LLC practices in Mount Pocono, PA. The NPI Number for Pennsylvania Associates, LLC is 1447580584 and holds a License No. 457036 (PA). The current practice location address for Pennsylvania Associates, LLC is 1151 Mount Pocono Blvd, Suite 3, Mount Pocono, PA 18344 and can be reached out via phone at 570-839-7246 and via fax at 570-839-7248.
Provider Profile Details
- NPI Number
- 1447580584
- Provider Name
- Pennsylvania Associates, LLC
- Provider Entity Type
- Organization
- Address
- 1151 Mount Pocono Blvd, Suite 3, Mount Pocono, PA 18344
- Phone Number
- 570-839-7246
- Fax Number
- 570-839-7248
- Primary Taxonomy
- Clinic/Center, Methadone Clinic · 261QM2800X
- Organization Subpart
- No
- Authorized Official
- Robyn Tanis · Executive Director Contract Mgmt · 856-533-8762
- Other Names
- Mount Pocono Medical (Doing Business As)
- Provider Enumeration Date
- January 13, 2010
- Last Update Date
- July 23, 2026
- Certification Date
- July 23, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1151 Mount Pocono Blvd
Suite 3
Mount Pocono, PA 18344 - City
- Mount Pocono
- State
- Pennsylvania
- Zip
- 18344
- Phone Number
- 570-839-7246
- Fax Number
- 570-839-7248
Provider Business Mailing Address Details
- Address
- 1317 Route 73 Ste 200
Mount Laurel, NJ 08054-2202 - City
- Mount Laurel
- State
- NJ
- Zip
- 08054-2202
- Phone Number
- 856-439-6111
License Information
- License Number (1)
- 457036
- License State (1)
- PA
- Taxonomy (1)
- Clinic/Center, Methadone Clinic · 261QM2800X · Primary
- Taxonomy (2)
- Clinic/Center, Recovery Care · 261QR0800X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Methadone Clinic providers near Mount Pocono, PA
View all Clinic/Center, Methadone Clinic providers in Mount Pocono →Frequently Asked Questions
What is the NPI number of Pennsylvania Associates, LLC?
The NPI number of Pennsylvania Associates, LLC is 1447580584. It was assigned on January 13, 2010 and is currently active in the NPPES registry.
What is the specialty of Pennsylvania Associates, LLC?
Pennsylvania Associates, LLC is registered under the primary taxonomy Clinic/Center, Methadone Clinic (code 261QM2800X), licensed in PA under license number 457036.
Where does Pennsylvania Associates, LLC practice?
The practice location is 1151 Mount Pocono Blvd, Suite 3, Mount Pocono, PA 18344. The office can be reached at 570-839-7246 (phone) or 570-839-7248 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1447580584 directly on the NPPES registry website.