DEERFIELD BEHAVIORAL HEALTH OF WARREN (NPI# 1477684264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477684264 |
Entity Type | Organization |
Organization Name | DEERFIELD BEHAVIORAL HEALTH OF WARREN |
Other Organization Name | DEERFIELD CENTERS FOR ADDICTIONS TREATMENT |
Practice Address |
Chestnut Street Marienville Medical Center Marienville PA 16239 |
Mailing Address |
1003 Pennsylvania Ave W Fl 2 Warren PA 16365-1876 |
Practice Telephone | 8888933228 |
Mailing Telephone | 8147235545 |
Mailing Fax Number | 8143625245 |
Enumeration Date | 2007-03-07 |
Last Update Date | 2020-10-05 |
Authorized Official Name | TINA CARY (EX DIR) |
Authorized Official Telephone | 8147235545 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
627026 | PA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | HIGHMARK BLUE CROSS | 0828 | 01 |
PA | 0015930840010 | 05 | |
PA | VALUE OPTIONS | 330194 | 01 |
Other Name | Type Code |
---|---|
Deerfield Centers for Addictions Treatment | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740310184 | Deerfield Behavioral Health of Warren | Clinic/Center | 623 Elm St, Tionesta, PA 16353-8803 | 2007-03-06 |
1740310176 | Deerfield Behavioral Health of Warren | Clinic/Center | 115 W Spring St, Titusville, PA 16354-1763 | 2007-03-06 |
1962532374 | Deerfield Behavioral Health of Warren | Clinic/Center | 1003 Pennsylvania Ave W Fl 2, Warren, PA 16365-1876 | 2007-03-06 |
Street Address |
CHESTNUT STREET MARIENVILLE MEDICAL CENTER |
City | MARIENVILLE |
State | PA |
Zip Code | 16239 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598260002 | Thomas Slimick | Ambulance | 302 West Spruce Street, Marienville, PA 16239 | 2018-03-27 |
1982130803 | Andrew James Leslie | Nurse Practitioner | 286 Woodland Drive, Marienville, PA 16239 | 2017-05-11 |
1801247671 | Mhm Inc. | Psychiatric Hospital | 286 Woodland Dr, Marienville, PA 16239 | 2016-06-23 |
1093128761 | Ann Songer | Speech-Language Pathologist | 156 Snyder Memorial Road, Marienville, PA 16239 | 2014-06-10 |
1972645893 | Cornell Abraxas Group Inc | Substance Abuse Rehabilitation Facility | North Forest Steet, Marienville, PA 16239 | 2007-02-14 |
1417044173 | Clarion Development Corporation | Pharmacy | 120 Cherry St, Marienville, PA 16239 | 2006-10-06 |
1376062703 | Craig Jacob Hasper | Nurse Practitioner | 286 Woodland Drive, Marienville, PA 16239 | 2017-09-18 |
1235465592 | Brookville Hospital | Clinic/Center | 125 Chestnut Street, Marienville, PA 16239 | 2009-10-21 |
1194164442 | Cornell Abraxas Group, Inc | Psychiatric Residential Treatment Facility | 165 Abraxas Rd, Marienville, PA 16239-0059 | 2013-06-20 |
1225262413 | Robert L Maxa | Family Medicine | 1 Woodland Dr., Marienville, PA 16239-0307 | 2009-05-04 |
Find all providers in zip 16239 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841816204 | Source Behavioral Health Services, LLC | Clinic/Center | 301 Oxford Valley Rd Ste 1302, Yardley, PA 19067-7706 | 2020-06-22 |
1780218594 | Davis Archway Centers for Addiction Treatment, Inc. | Clinic/Center | 114 Courson Ln, Emlenton, PA 16373-2502 | 2020-03-02 |
1871125625 | New Hope Community Medical Care LLC | Clinic/Center | 2602 W 9th St Ste 101, Chester, PA 19013-2089 | 2020-02-10 |
1528699931 | Caron Outpatient Services, LLC | Clinic/Center | 401 Plymouth Rd Ste 325, Plymouth Meeting, PA 19462-1650 | 2020-02-04 |
1124658331 | White Oak Wellness | Clinic/Center | 1966 Lincoln Way Ste 100, White Oak, PA 15131-2416 | 2020-01-16 |
1518517283 | Peace Valley Recovery | Clinic/Center | 5230 York Rd, Doylestown, PA 18902-1736 | 2019-09-16 |
1841853256 | Trinity Recovery LLP | Clinic/Center | 1311 E State St, Sharon, PA 16146-3246 | 2019-04-22 |
1861950909 | Advanced Treatment Centers LLC | Clinic/Center | 60 Abele Rd Ste 1103, Bridgeville, PA 15017-3467 | 2019-03-07 |
1467918722 | Melissa Francomacaro | Clinic/Center | 1035 W Walnut St Apt 2, Allentown, PA 18102-4847 | 2019-02-12 |
1205390325 | Pyramid Health Care Inc. | Clinic/Center | 100 Upper Demunds Rd, Dallas, PA 18612-8811 | 2019-01-23 |
Find all providers with the same taxonomy |
City | MARIENVILLE |
Zip Code | 16239 |
Please comment or provide details below to improve the information on DEERFIELD BEHAVIORAL HEALTH OF WARREN.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.