MOMENTUM SERVICES LLC NPI 1093912107

NPI Information

NPI: 1093912107
Provider Name: MOMENTUM SERVICES, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
50 PARKWOOD DR
CHAMBERSBURG, PA
ZIP 17201
Phone: (717) 262-2183
Get Directions

MOMENTUM SERVICES, LLC is a mental health (including community mental health center) clinic center in Chambersburg, PA. MOMENTUM SERVICES, LLC NPI is 1093912107. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

50 PARKWOOD DR
CHAMBERSBURG, PA
ZIP 17201-501
Phone: (717) 262-2183
Fax: (717) 262-2486

The provider's authorized official is Justin R Goshorn .
The authorized official title is Partner and has the following contact phone number (717) 262-2183.

The enumeration date for this NPI number is 7/2/2007 and was last updated on 6/13/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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	101Y00000X	Counselor				No
2	251S00000X	Community/Behavioral Health				No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	323600	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1017551490004	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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