Provider Type Icon

MARWORTH NPI 1942336391


NPI Information

NPI: 1942336391
Provider Name: MARWORTH
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 39D0988381

Address:
LILY LAKE RD
WAVERLY, PA
ZIP 18471
Phone: (570) 563-1112
Get Directions

MARWORTH is a rehabilitation and substance use disorder clinic center in Waverly, PA. MARWORTH NPI is 1942336391. The provider is registered as an organization entity type.

The provider's business location address is:

LILY LAKE RD
WAVERLY, PA
ZIP 18471
Phone: (570) 563-1112

The provider's authorized official is Cindy L Mull .
The authorized official title is System Director Enrollments and has the following contact phone number (570) 271-6603.

The CLIA number assigned to this NPI record is 39D0988381 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/27/2007 and was last updated on 3/10/2023.


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
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderYes

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.