PENNSYLVANIA CARE LLC NPI 1467759399

NPI Details

PENNSYLVANIA CARE, LLC is a methadone clinic center in Ashley, 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. PENNSYLVANIA CARE, LLC NPI is 1467759399. The provider is registered as an organization entity type.
The provider Is Doing Business As Miners Medical.

The provider's business location address is:

43 S MAIN ST
ASHLEY, PA
ZIP 18706-506
Phone: (570) 822-5145
Fax: (570) 822-5147

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 39D2125330 - other - alcohol and drug treatmen with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm (HCPCS:G2067)
• Intake activities, including initial medical examination that is a complete, fully documented physical evaluation and initial assessment by a program physician or a primary care physician, or an authorized healthcare professional under the supervision of a (HCPCS:G2076)

The enumeration date for this NPI number is 2/11/2011 and was last updated on 7/18/2022.

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: