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CLARION CO MH MR DRUG & ALCOHOL NPI 1861422834


NPI Information

NPI: 1861422834
Provider Name: CLARION CO MH MR DRUG & ALCOHOL
Classification: Case Manager/Care Coordinator - 171M00000X
Entity Type: Organization

CLIA Number: 39D2052561

Address:
214 S 7TH AVE
CLARION, PA
ZIP 16214
Phone: (814) 226-6252
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CLARION CO MH MR DRUG & ALCOHOL is a case manager care coordinator in Clarion, PA. The provider is a person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. CLARION CO MH MR DRUG & ALCOHOL NPI is 1861422834. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

214 S 7TH AVE
CLARION, PA
ZIP 16214-053
Phone: (814) 226-6252
Fax: (814) 226-8564

The provider's authorized official is Evan R Dittman .
The authorized official title is Mh Mr Drug & Alcohol Administrator and has the following contact phone number (814) 226-6252.

The CLIA number assigned to this NPI record is 39D2052561 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/4/2006 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
1171M00000XCase Manager/Care CoordinatorYes
2251B00000XCase ManagementX
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)X
4261QM0850XClinic/CenterAdult Mental HealthX
5261Q00000XClinic/CenterX
6261QM0855XClinic/CenterAdolescent and Children Mental HealthX

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
11000073900017MEDICAIDPENNSYLVANIA
21000073900008MEDICAIDPENNSYLVANIA
3660501OTHERPENNSYLVANIAHIGHMARK BC/BS
41000073900019MEDICAIDPENNSYLVANIA
51000073900005MEDICAIDPENNSYLVANIA
61000073900014MEDICAIDPENNSYLVANIA
7100007390025MEDICAIDPENNSYLVANIA
81000073900009MEDICAIDPENNSYLVANIA
91000073900016MEDICAIDPENNSYLVANIA
101000073900020MEDICAIDPENNSYLVANIA
114634563OTHERPENNSYLVANIAAETNA INSURANCE
121000073900006MEDICAIDPENNSYLVANIA

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

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.