PYRAMID HEALTHCARE INC. NPI 1215208301

NPI Information

NPI: 1215208301
Provider Name: PYRAMID HEALTHCARE INC.
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 39D2241602

Address:
124 CHAMBERS HILL DR
CHAMBERSBURG, PA
ZIP 17201
Phone: (717) 261-9100
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PYRAMID HEALTHCARE INC. is a rehabilitation and substance use disorder clinic center in Chambersburg, PA. PYRAMID HEALTHCARE INC. NPI is 1215208301. The provider is registered as an organization entity type.

The provider's business location address is:

124 CHAMBERS HILL DR
CHAMBERSBURG, PA
ZIP 17201-301
Phone: (717) 261-9100
Fax: (717) 261-9104

The provider's authorized official is Jonathan Wolf .
The authorized official title is Ceo and has the following contact phone number (814) 940-0407.

The CLIA number assigned to this NPI record is 39D2241602 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/20/2012 and was last updated on 11/5/2021.

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	261Q00000X	Clinic/Center		287051	PENNSYLVANIA	No
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	287051	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	287051	OTHER	PENNSYLVANIA	STATE LICENSE
2	1007625050015	MEDICAID	PENNSYLVANIA
3	1007625050018	MEDICAID	PENNSYLVANIA
4	1007625050019	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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