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GATEWAY REHABILITATION CENTER-MOFFETT HOUSE NPI 1376544528


NPI Information

NPI: 1376544528
Provider Name: GATEWAY REHABILITATION CENTER-MOFFETT HOUSE
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
1215 7TH AVE
3RD FLOOR
BEAVER FALLS, PA
ZIP 15010
Phone: (724) 846-6145
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GATEWAY REHABILITATION CENTER-MOFFETT HOUSE is a substance abuse rehabilitation facility in Beaver Falls, PA. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. GATEWAY REHABILITATION CENTER-MOFFETT HOUSE NPI is 1376544528. The provider is registered as an organization entity type.

The provider's business location address is:

1215 7TH AVE
3RD FLOOR
BEAVER FALLS, PA
ZIP 15010-409
Phone: (724) 846-6145
Fax: (724) 846-4351

The provider's authorized official is James Troup .
The authorized official title is President/ceo and has the following contact phone number (412) 604-8900.

The enumeration date for this NPI number is 8/9/2005 and was last updated on 6/3/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation Facility047043PENNSYLVANIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11007607430067MEDICAIDPENNSYLVANIA

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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