PINNACLE TREATMENT CENTERS PA-IV LLC NPI 1316341605

NPI Information

NPI: 1316341605
Provider Name: PINNACLE TREATMENT CENTERS PA-IV, LLC

Doing Business As: SUMMIT TREATMENT SERVICES

Classification: Clinic/Center - 261QM2800X
Entity Type: Organization

Specialization: Methadone

Address:
3121 SMALLMAN ST
PITTSBURGH, PA
ZIP 15201
Phone: (412) 255-8717
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PINNACLE TREATMENT CENTERS PA-IV, LLC is a methadone clinic center in Pittsburgh, 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. PINNACLE TREATMENT CENTERS PA-IV, LLC NPI is 1316341605. The provider is registered as an organization entity type.
The provider Is Doing Business As Summit Treatment Services.

The provider's business location address is:

3121 SMALLMAN ST
PITTSBURGH, PA
ZIP 15201-425
Phone: (412) 255-8717

The provider's authorized official is Robyn Tanis .
The authorized official title is Executive Director Of Contract Mgmt and has the following contact phone number (856) 533-8762.

The CLIA number assigned to this NPI record is 39D2125328 - other - alcohol & drug treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/15/2014 and was last updated on 9/9/2021.

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	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			No
2	261QM2800X	Clinic/Center	Methadone	707252	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	707252	OTHER	PENNSYLVANIA	STATE LICENSE

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: 4/28/2024

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