SOAR CORP NPI 1023287711

NPI Information

NPI: 1023287711
Provider Name: SOAR CORP
Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
9150 MARSHALL ST
SUITE 2
PHILADELPHIA, PA
ZIP 19114
Phone: (215) 464-4450
Get Directions

SOAR CORP is a methadone clinic center in Philadelphia, PA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. SOAR CORP NPI is 1023287711. The provider is registered as an organization entity type.

The provider's business location address is:

9150 MARSHALL ST
SUITE 2
PHILADELPHIA, PA
ZIP 19114
Phone: (215) 464-4450
Fax: (215) 464-4405

The provider's authorized official is Mark Shvartsburd .
The authorized official title is Ceo/program Sponsor and has the following contact phone number (215) 322-6590.

The enumeration date for this NPI number is 2/27/2008 and was last updated on 8/14/2018.

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	251S00000X	Community/Behavioral Health				No
2	261QM2800X	Clinic/Center	Methadone	807405	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	1020553790001	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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