ADVANCED COMMUNITY SERVICE ASSOCIATES NPI 1851442586

NPI Information

NPI: 1851442586
Provider Name: ADVANCED COMMUNITY SERVICE ASSOCIATES
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1141 CLAY AVE
DUNMORE, PA
ZIP 18510
Phone: (570) 207-7919
Get Directions

ADVANCED COMMUNITY SERVICE ASSOCIATES is a mental health (including community mental health center) clinic center in Dunmore, PA. ADVANCED COMMUNITY SERVICE ASSOCIATES NPI is 1851442586. The provider is registered as an organization entity type.

The provider's business location address is:

1141 CLAY AVE
DUNMORE, PA
ZIP 18510-191
Phone: (570) 207-7919
Fax: (570) 963-1953

The provider's authorized official is John E Bakes .
The authorized official title is Deputy Director and has the following contact phone number (570) 348-6100.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 1/11/2008.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			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	866441	MEDICARE PIN	PENNSYLVANIA
2	1007706410012	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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