CLEARFIELD-JEFFERSON CMHC NPI 1649391087

NPI Information

  • NPI: 1649391087
  • Provider Name: CLEARFIELD-JEFFERSON CMHC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • CLIA Number: 39D2081180
  • Address: 103 N GILPIN ST
    PUNXSUTAWNEY, PA
    ZIP 15767
  • Phone: (814) 371-1100

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NPI Details

CLEARFIELD-JEFFERSON CMHC is a mental health (including community mental health center) clinic center in Punxsutawney, PA. CLEARFIELD-JEFFERSON CMHC NPI is 1649391087. The provider is registered as an organization entity type.

The provider's business location address is:

103 N GILPIN ST
PUNXSUTAWNEY, PA
ZIP 15767-055
Phone: (814) 371-1100
Fax: (814) 375-0120

The provider's authorized official is Karen H Forsha .
The authorized official title is Billing Supervisor and has the following contact phone number (814) 371-1100.

The CLIA number assigned to this NPI record is 39D2081180 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 8/22/2020.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)436040PENNSYLVANIAYes

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
1124074OTHERPENNSYLVANIAHIMARK
21007627390042MEDICAIDPENNSYLVANIA

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: 11/21/2025

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