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PENNSYLVANIA INTEGRATIVE CLINICAL SERVICES INC. NPI 1669055349


NPI Information

NPI: 1669055349
Provider Name: PENNSYLVANIA INTEGRATIVE CLINICAL SERVICES, INC.

Doing Business As: LEHIGH VALLEY INTEGRATIVE CLINICAL SERVICES

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
41 COMMUNITY DR
EASTON, PA
ZIP 18045
Phone: (610) 438-5827
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PENNSYLVANIA INTEGRATIVE CLINICAL SERVICES, INC. is a clinic center in Easton, PA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PENNSYLVANIA INTEGRATIVE CLINICAL SERVICES, INC. NPI is 1669055349. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lehigh Valley Integrative Clinical Services.

The provider's business location address is:

41 COMMUNITY DR
EASTON, PA
ZIP 18045-668
Phone: (610) 438-5827

The provider's authorized official is Johnathan Jones .
The authorized official title is Chief Executive Officer and has the following contact phone number (610) 438-5827.

The enumeration date for this NPI number is 4/30/2021 and was last updated on 12/18/2023.


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
1101YM0800XCounselorMental HealthNo
2251J00000XNursing CareNo
3251K00000XPublic Health or WelfareNo
4251S00000XCommunity/Behavioral HealthNo
5253Z00000XIn Home Supportive CareNo
6261QC1500XClinic/CenterCommunity HealthNo
7261QD1600XClinic/CenterDevelopmental DisabilitiesNo
8261QG0250XClinic/CenterGeneticsNo
9261QH0100XClinic/CenterHealth ServiceNo
10261QH0700XClinic/CenterHearing and SpeechNo
11261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
12261QM0850XClinic/CenterAdult Mental HealthNo
13282J00000XReligious Nonmedical Health Care InstitutionNo
14261Q00000XClinic/CenterYes

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
11039062240001MEDICAIDPENNSYLVANIA

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: 5/5/2024

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.