Pennsylvania Care, LLC
Clinic/Center, Methadone Clinic in Ashley, Pennsylvania
1467759399- Practice location
- 43 S Main St, Ashley, PA 18706-1506
- Phone
- 570-822-5145
- Fax
- 570-822-5147
- Last updated
- July 18, 2022
Pennsylvania Care, LLC is a healthcare organization based in Ashley, PA. Pennsylvania Care, LLC practices in Ashley, PA. The NPI Number for Pennsylvania Care, LLC is 1467759399 and holds a License No. 407058 (PA). The current practice location address for Pennsylvania Care, LLC is 43 S Main St, Ashley, PA 18706-1506 and can be reached out via phone at 570-822-5145 and via fax at 570-822-5147.
Provider Profile Details
- NPI Number
- 1467759399
- Provider Name
- Pennsylvania Care, LLC
- Provider Entity Type
- Organization
- Address
- 43 S Main St, Ashley, PA 18706-1506
- Phone Number
- 570-822-5145
- Fax Number
- 570-822-5147
- Primary Taxonomy
- Clinic/Center, Methadone Clinic · 261QM2800X
- Organization Subpart
- No
- Authorized Official
- Robyn Tanis · Executive Director Of Contract Mgmt · 856-533-8762
- Other Names
- Miners Medical (Doing Business As)
- Provider Enumeration Date
- February 11, 2011
- Last Update Date
- July 18, 2022
- Certification Date
- July 18, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 43 S Main St
Ashley, PA 18706-1506 - City
- Ashley
- State
- Pennsylvania
- Zip
- 18706-1506
- Phone Number
- 570-822-5145
- Fax Number
- 570-822-5147
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
- 856-429-6111
- Fax Number
- 570-822-5147
License Information
- Taxonomy (1)
- Clinic/Center, Rehabilitation, Substance Use Disorder · 261QR0405X
- License Number (2)
- 407058
- License State (2)
- PA
- Taxonomy (2)
- Clinic/Center, Methadone Clinic · 261QM2800X · Primary
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 Ashley, PA
View all Clinic/Center, Methadone Clinic providers in Ashley →Frequently Asked Questions
What is the NPI number of Pennsylvania Care, LLC?
The NPI number of Pennsylvania Care, LLC is 1467759399. It was assigned on February 11, 2011 and is currently active in the NPPES registry.
What is the specialty of Pennsylvania Care, LLC?
Pennsylvania Care, LLC is registered under the primary taxonomy Clinic/Center, Methadone Clinic (code 261QM2800X), licensed in PA under license number 407058.
Where does Pennsylvania Care, LLC practice?
The practice location is 43 S Main St, Ashley, PA 18706-1506. The office can be reached at 570-822-5145 (phone) or 570-822-5147 (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 1467759399 directly on the NPPES registry website.