SERVICE COORDINATION OF SOUTH CENTRAL PA - NPI NUMBER 1053658039

Summary

Provider Name: SERVICE COORDINATION OF SOUTH CENTRAL PA

NPI Number: 1053658039

Clasification: Case Management (251B00000X)

Address:
788 CHERRY TREE CT
HANOVER, PA
ZIP 17331

Phone Number: (717) 632-5552



Detailed Information

SERVICE COORDINATION OF SOUTH CENTRAL PA is a case management in Hanover, PA. The provider is 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 to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. The assigned NPI number for this provider is 1053658039 and is registered as an organization entity type.

The provider's business address is:

788 CHERRY TREE CT
HANOVER, PA
ZIP 17331-901
Phone: (717) 632-5552
Fax: (717) 632-2315

The provider's authorized official is Bruce Mcintosh .
The authorized official title is Chairman Of The Board and has the following contact phone number (717) 632-5552.

The enumeration date for this NPI number is 1/10/2013 and was last updated on 1/10/2013.

Map - Location of Practice

Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 251B00000X Case Management PA Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 1027106240001 OTHER PA MA- ADULT AUSTISM WAIVER

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1053658039 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 2 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Employer Identification Number EIN The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
4 Provider Organization Name Legal Business Name SERVICE COORDINATION OF SOUTH CENTRAL PA The name of the organization provider. If the provider is an organization, this is the legal business name.
5 Provider First Line Business Practice Location Address 788 CHERRY TREE CT The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
6 Provider Business Practice Location Address City Name HANOVER The city name in the location address of the provider being identified.
7 Provider Business Practice Location Address State Name PA The State code in the location of the provider being identified.
8 Provider Business Practice Location Address Postal Code 173317901 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
9 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
10 Provider Business Practice Location Address Telephone Number 7176325552 The telephone number associated with the location address of the provider being identified.
11 Provider Business Practice Location Address Fax Number 7176322315 The fax number associated with the location address of the provider being identified.
12 Provider Enumeration Date 1/10/2013 The date the provider was assigned a unique identifier (assigned an NPI).
13 Last Update Date 1/10/2013 The date that a record was last updated or changed.
14 Authorized Official Last Name MCINTOSH The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
15 Authorized Official First Name BRUCE The first name of the authorized official.
16 Authorized Official Title or Position CHAIRMAN OF THE BOARD The title or position of the authorized official.
17 Authorized Official Telephone Number 7176325552 The 10-position telephone number of the authorized official.
18 Healthcare Provider Taxonomy Code 1 251B00000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
19 Provider License Number State Code 1 PA The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
20 Healthcare Provider Primary Taxonomy Switch 1 Y
21 Other Provider Identifier 1 1027106240001 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
22 Other Provider Identifier Type Code 1 01 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
23 Other Provider Identifier State 1 PA
24 Other Provider Identifier Issuer 1 MA- ADULT AUSTISM WAIVER
25 Is Organization Subpart N
26 Authorized Official Name Prefix Text MR.


Download NPI Record

Download this NPI record in Text format: Export

Download this NPI record in Excel (CSV) format: Export

Download this NPI record in XML format: Export




This page was last updated on: 3/10/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.