PYRAMID HEALTHCARE INC. NPI 1063533040

NPI Information

  • NPI: 1063533040
  • Provider Name: PYRAMID HEALTHCARE INC.
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • CLIA Number: 39D2241601
  • Address: 1325 W 26TH ST
    ERIE, PA
    ZIP 16508
  • Phone: (814) 456-2203

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NPI Details

PYRAMID HEALTHCARE INC. is a rehabilitation and substance use disorder clinic center in Erie, PA. PYRAMID HEALTHCARE INC. NPI is 1063533040. The provider is registered as an organization entity type.

The provider's business location address is:

1325 W 26TH ST
ERIE, PA
ZIP 16508-469
Phone: (814) 456-2203

The provider's authorized official is Jason Hendricks .
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 39D2241601 - other - drug & alcohol outpatient with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 4/22/2025.

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 Disorder257077PENNSYLVANIAYes

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
1257077OTHERPENNSYLVANIALICENSE NUMBER
21007625050154MEDICAIDPENNSYLVANIA
31007625050155MEDICAIDPENNSYLVANIA
41007625050094MEDICAIDPENNSYLVANIA
51007625050097MEDICAIDPENNSYLVANIA
61007625050153MEDICAIDPENNSYLVANIA
71007625050096MEDICAIDPENNSYLVANIA

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: 3/30/2025

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