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ALCOHOL AND DRUG ABUSE SERVICES INC NPI 1417017096


NPI Information

NPI: 1417017096
Provider Name: ALCOHOL AND DRUG ABUSE SERVICES INC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
120 CHESTNUT STREET
PORT ALLEGANY, PA
ZIP 16743
Phone: (814) 642-9541
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ALCOHOL AND DRUG ABUSE SERVICES INC is a substance abuse rehabilitation facility in Port Allegany, 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. ALCOHOL AND DRUG ABUSE SERVICES INC NPI is 1417017096. The provider is registered as an organization entity type.

The provider's business location address is:

120 CHESTNUT STREET
PORT ALLEGANY, PA
ZIP 16743-251
Phone: (814) 642-9541
Fax: (814) 642-9596

The provider's authorized official is Evan R Dittman .
The authorized official title is Executive Director and has the following contact phone number (814) 642-2910.

The enumeration date for this NPI number is 12/12/2006 and was last updated on 11/3/2010.


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 Facility427024PENNSYLVANIANo
2324500000XSubstance Abuse Rehabilitation Facility427033PENNSYLVANIANo
3324500000XSubstance Abuse Rehabilitation Facility427038PENNSYLVANIANo
4324500000XSubstance Abuse Rehabilitation Facility427034PENNSYLVANIANo
5324500000XSubstance Abuse Rehabilitation Facility127037PENNSYLVANIANo
6324500000XSubstance Abuse Rehabilitation Facility241094PENNSYLVANIANo
7324500000XSubstance Abuse Rehabilitation Facility537034PENNSYLVANIAYes

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
11007395340018MEDICAIDPENNSYLVANIA
21007395340012MEDICAIDPENNSYLVANIA
31007395340016MEDICAIDPENNSYLVANIA
4682672MEDICARE PINPENNSYLVANIA
51007395340019MEDICAIDPENNSYLVANIA
61007395340006MEDICAIDPENNSYLVANIA
71007395340007MEDICAIDPENNSYLVANIA
81007395340015MEDICAIDPENNSYLVANIA

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

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.