GODS MOUNTAIN RECOVERY CENTER (NPI# 1083129886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083129886 |
| Entity Type | Organization |
| Organization Name | GODS MOUNTAIN RECOVERY CENTER |
| Practice Address |
94 Adams Dr Waymart PA 18472 |
| Mailing Address |
1418 W Street Rd Warminster PA 18974-3112 |
| Practice Telephone | 2159710143 |
| Practice Fax Number | 2154429272 |
| Mailing Telephone | 2159710143 |
| Mailing Fax Number | 2154429272 |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2017-12-04 |
| Authorized Official Name | MR. JOSEPH QUINONES (CFO) |
| Authorized Official Telephone | 2159710143 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225C00000X | Rehabilitation Counselor | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Street Address |
94 ADAMS DR |
| City | WAYMART |
| State | PA |
| Zip Code | 18472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487289351 | Joseph Quinones | Counselor | 94 Adams Dr, Waymart, PA 18472-7701 | 2020-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891393237 | Jennifer Villano | Physician Assistant | C/o Sci Waymart, Waymart, PA 18472 | 2020-10-16 |
| 1770108227 | Rhea Marie Carey | Physician Assistant | 3057 Eric J Williams Memorial Drive, Waymart, PA 18472 | 2020-06-10 |
| 1104286095 | Joseph Cheslick | Nurse Practitioner | 100 Route 6, Waymart, PA 18472 | 2016-03-04 |
| 1093102568 | Connie Lee Thomas | Speech-Language Pathologist | 37 Woodlands Drive, Waymart, PA 18472 | 2015-04-22 |
| 1194932483 | Janet B Eisele | Nurse Practitioner | 27b Woodlands Drive, Waymart, PA 18472 | 2007-05-17 |
| 1245456961 | Waymart Volunteer Ambulance Corps Inc | Ambulance | 28 Railroad Ln, Waymart, PA 18472 | 2007-04-18 |
| 1477658235 | Marci Ann Kowalewski | Physician Assistant | 263 Carbondale Rd, Box Z, Waymart, PA 18472 | 2006-09-14 |
| 1720191703 | Cathy Marie Salak | Dentist | 615 Roosevelt Hwy, Waymart, PA 18472 | 2006-08-16 |
| 1790798882 | Wawrzyniec Lawrence Stepczak | Internal Medicine | 29 Woodlands Drive, Waymart, PA 18472 | 2006-08-13 |
| 1306327812 | Bonnie Marie Woodruff | Nurse Practitioner | 100 Route 6, Sci Waymart, Waymart, PA 18472 | 2018-08-23 |
| Find all providers in zip 18472 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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| 1124658331 | White Oak Wellness | Clinic/Center | 1966 Lincoln Way Ste 100, White Oak, PA 15131-2416 | 2020-01-16 |
| 1518517283 | Peace Valley Recovery | Clinic/Center | 5230 York Rd, Doylestown, PA 18902-1736 | 2019-09-16 |
| 1841853256 | Trinity Recovery LLP | Clinic/Center | 1311 E State St, Sharon, PA 16146-3246 | 2019-04-22 |
| 1861950909 | Advanced Treatment Centers LLC | Clinic/Center | 60 Abele Rd Ste 1103, Bridgeville, PA 15017-3467 | 2019-03-07 |
| 1467918722 | Melissa Francomacaro | Clinic/Center | 1035 W Walnut St Apt 2, Allentown, PA 18102-4847 | 2019-02-12 |
| 1205390325 | Pyramid Health Care Inc. | Clinic/Center | 100 Upper Demunds Rd, Dallas, PA 18612-8811 | 2019-01-23 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.