RCA MAT PA LLC (NPI# 1417412586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417412586 |
| Entity Type | Organization |
| Organization Name | RCA MAT PA LLC |
| Other Organization Name | DELAWARE COUNTY HEALTHCARE CLINIC |
| Practice Address |
53 N Union Ave Lansdowne PA 19050-2536 |
| Mailing Address |
2701 Renaissance Blvd Fl 4 King of Prussia PA 19406-2781 |
| Practice Telephone | 6109942968 |
| Mailing Telephone | 6109942968 |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2020-08-10 |
| Authorized Official Name | MARK GALLIHUE (CORPORATE DIRECTOR, PATIENT ACCOUNT) |
| Authorized Official Telephone | 6109942968 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Delaware County Healthcare Clinic | Doing Business As Name - Organization |
| Street Address |
53 N UNION AVE |
| City | LANSDOWNE |
| State | PA |
| Zip Code | 19050-2536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063075919 | Elite Provider Management, LLC | Nurse Practitioner | 941 Church Ln, Lansdowne, PA 19050 | 2019-04-16 |
| 1598295602 | Sherita Baylis | In Home Supportive Care | 112 Hirst Ave, Lansdowne, PA 19050 | 2017-06-13 |
| 1417486861 | Raul Alvarez De- La Cadena | Counselor | 7 Willowbrook Ave, Lansdowne, PA 19050 | 2017-06-08 |
| 1154857589 | Pettaway Pursuit Foundation | Home Health | 11 Owen Ave, Lansdowne, PA 19050 | 2017-05-04 |
| 1265895155 | Ruth Levin | Behavioral Analyst | 111 N. Lansdowne Ave. Bldg 4 J2, Lansdowne, PA 19050 | 2016-03-30 |
| 1366865065 | Anthony Napoletano | Hearing Instrument Specialist | 54 E. Baltimore Avenue, Lansdowne, PA 19050 | 2014-01-31 |
| 1386984151 | Se,com,sa | Chronic Disease Hospital | Eurovillage Compound, Al Khobar, Eastern Province, 3193, Saudi Arabia, EUROVILLAGE COMPOUND, AL KHOBAR, EASTERN 19050 | 2013-02-15 |
| 1659636116 | Ameri Dental Group P.C. | Dentist | 43 South Lansdowne Avenue, Lansdowne, PA 19050 | 2012-07-11 |
| 1184934663 | Neil I Pakett | Dentist | 43 S. Lansdowne Ave., Lansdowne, PA 19050 | 2010-10-18 |
| 1376863043 | Soar Corp | Community/Behavioral Health | 33 Williams St, Lansdowne, PA 19050 | 2010-06-04 |
| Find all providers in zip 19050 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083102511 | Riverside Treatment Services Lansdowne, LLC | Clinic/Center | 1903 Lansdowne Rd, Lansdowne, MD 21227-1707 | 2018-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942779467 | Polaris Renewal Services II | Clinic/Center | 2262 University Dr, Lemont Furnace, PA 15456-1332 | 2018-11-14 |
| 1861911554 | Pinnacle Treatment Centers Pa-viii, LLC | Clinic/Center | 15 Arentzen Blvd, Charleroi, PA 15022-1060 | 2017-09-13 |
| 1952854408 | Medmark Treatment Centers of Pennsylvania, Inc | Clinic/Center | 1984 Route 22, Blairsville, PA 15717-1264 | 2016-08-02 |
| 1346697794 | Pinnacle Treatment Centers Pa-vii, LLC | Clinic/Center | 120 Penn Street, Hanover, PA 17331 | 2016-05-16 |
| 1861846438 | Fayette Treatment Center, LLC | Clinic/Center | 2695 E Roy Furman Hwy, Carmichaels, PA 15320-2434 | 2016-04-20 |
| 1851745566 | Kensington Hospital Outpatient Treatment Program | Clinic/Center | 2100 N Front St, Philadelphia, PA 19122-1705 | 2016-04-19 |
| 1992170930 | Echo Treatment Center LLC | Clinic/Center | 50 E Wylie Ave Ste 2, Washington, PA 15301-2059 | 2015-12-02 |
| 1184016651 | Thw Group LLC | Clinic/Center | 7900 Frankford Ave, Philadelphia, PA 19136-3041 | 2015-02-20 |
| 1316341605 | Pinnacle Treatment Centers Pa-iv, LLC | Clinic/Center | 3121 Smallman St, Pittsburgh, PA 15201-1425 | 2014-10-15 |
| 1609270263 | Ars of Pennsylvania LLC | Clinic/Center | 3433 Trindle Rd, Camp Hill, PA 17011-4434 | 2014-10-10 |
| 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.