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
1 NPI 1053658039
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name SERVICE COORDINATION OF SOUTH CENTRAL PA
5 Provider First Line Business Practice Location Address 788 CHERRY TREE CT
6 Provider Business Practice Location Address City Name HANOVER
7 Provider Business Practice Location Address State Name PA
8 Provider Business Practice Location Address Postal Code 173317901
9 Provider Business Practice Location Address Country Code If outside U S US
10 Provider Business Practice Location Address Telephone Number 7176325552
11 Provider Business Practice Location Address Fax Number 7176322315
12 Provider Enumeration Date 1/10/2013
13 Last Update Date 1/10/2013
14 Authorized Official Last Name MCINTOSH
15 Authorized Official First Name BRUCE
16 Authorized Official Title or Position CHAIRMAN OF THE BOARD
17 Authorized Official Telephone Number 7176325552
18 Healthcare Provider Taxonomy Code 1 251B00000X
19 Provider License Number State Code 1 PA
20 Healthcare Provider Primary Taxonomy Switch 1 Y
21 Other Provider Identifier 1 1027106240001
22 Other Provider Identifier Type Code 1 01
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.

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This page was last updated on: 8/12/2014
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.