PYRAMID HEALTHCARE NPI 1811018898

NPI Information

NPI: 1811018898
Provider Name: PYRAMID HEALTHCARE
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 39D2234163

Address:
3893 WEST MAIN STREET
BELLEVILLE, PA
ZIP 17004
Phone: (717) 935-5400
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PYRAMID HEALTHCARE is a substance abuse rehabilitation facility in Belleville, 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. PYRAMID HEALTHCARE NPI is 1811018898. The provider is registered as an organization entity type.

The provider's business location address is:

3893 WEST MAIN STREET
BELLEVILLE, PA
ZIP 17004-252
Phone: (717) 935-5400
Fax: (717) 935-5413

The provider's authorized official is Jason Hendricks .
The authorized official title is Ceo and has the following contact phone number (814) 940-0407.

The CLIA number assigned to this NPI record is 39D2234163 - other - drug & alcohol res rehab with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 4/10/2024.

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	447027	PENNSYLVANIA	No
2	324500000X	Substance Abuse Rehabilitation Facility		447027	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	1007625050008	MEDICAID	PENNSYLVANIA
2	1007625050038	MEDICAID	PENNSYLVANIA

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: 5/5/2024

NPI Synchronization or Removal

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