PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES


Address: 1451 Hillside Dr, Clarks Summit, PA 18411-9504
Phone: 5705877250

PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES (NPI# 1447233424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447233424
Entity Type Organization
Organization Name PENNSYLVANIA DEPARTMENT OF HUMAN SERVICES
Other Organization Name CLARKS SUMMIT STATE HOSPITAL
Practice Address 1451 Hillside Dr
Clarks Summit
PA 18411-9504
Practice Telephone 5705877250
Practice Fax Number 5705877415
Mailing Telephone 5705877250
Mailing Fax Number 5705877415
Enumeration Date 2005-11-23
Last Update Date 2019-10-22
Authorized Official Name PATTI A. EISNER JR. (ADMINISTRATOR)
Authorized Official Telephone 7177052774
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 3336I0012X Pharmacy
Specialization: Institutional Pharmacy
Suppliers
N 3336L0003X Pharmacy
Specialization: Long Term Care Pharmacy
Suppliers
Y 283Q00000X Psychiatric Hospital Hospitals

Other Provider Identifier

State Issuer Identifier Type Code
PA 100308518 05

Other Provider/Organization Names

Other Name Type Code
Clarks Summit State Hospital Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1790768471 Pennsylvania Department of Human Services Pharmacy 33 Main Dr, North Warren, PA 16365-5001 2005-11-28
1760465454 Pennsylvania Department of Human Services Intermediate Care Facility, Mentally Retarded 827 Oley Valley Rd, White Haven, PA 18661-3043 2005-11-28
1376526111 Pennsylvania Department of Human Services Pharmacy State Route 1014, Torrance, PA 15779-0111 2005-11-25
1851374698 Pennsylvania Department of Human Services Intermediate Care Facility, Mentally Retarded 1 Lakewood Circle, Polk, PA 16342 2005-11-25
1295718039 Pennsylvania Department of Human Services Nursing Facility/Intermediate Care Facility 10058 S Mountain Rd, South Mountain, PA 17261-0900 2005-11-25
1457334336 Pennsylvania Department of Human Services Pharmacy 50 Kirkbride Dr, Danville, PA 17821-8630 2005-11-23
1447233317 Pennsylvania Department of Human Services Psychiatric Hospital 1001 Sterigere St, Norristown, PA 19401-5300 2005-11-23
1437132651 Pennsylvania Department of Human Services Intermediate Care Facility, Mentally Retarded 3560 Old Rte 22, Hamburg, PA 19526 2005-11-22
1508849738 Pennsylvania Department of Human Services Intermediate Care Facility, Mentally Retarded 1000 Us Highway 522, Selinsgrove, PA 17870-8707 2005-11-22
1154304483 Pennsylvania Department of Human Services Intermediate Care Facility, Mentally Retarded 4051 Admiral Peary Hwy, Ebensburg, PA 15931-4332 2005-11-21

Office Location

Street Address 1451 HILLSIDE DR
City CLARKS SUMMIT
State PA
Zip Code 18411-9504

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538699384 Michael Hennigan Nurse Practitioner 1451 Hillside Dr, Clarks Summit, PA 18411-9504 2017-06-14
1750732566 Jeffrey Hubert Pharmacist 1451 Hillside Dr, Clarks Summit, PA 18411-9504 2016-06-23
1194161398 Susan Nardella Psychologist 1451 Hillside Dr, Clarks Summit State Hospital - Psychology Department, Clarks Summit, PA 18411-9504 2013-05-14
1003165549 Christie Sworen Psychologist 1451 Hillside Dr, Clarks Summit, PA 18411-9504 2012-08-30
1023268323 Pa Deptment of Public Welfare Pharmacy 1451 Hillside Dr, Clarks Summit, PA 18411-9504 2008-09-23
1407985609 David Bengt Nesbit Psychiatry & Neurology 1451 Hillside Dr, Clarks Summit, PA 18411-9504 2007-03-05
1760519250 Yao C Wang Specialist 1451 Hillside Dr, Clarks Summit, PA 18411-9504 2007-02-28
1023144813 Susan C Lee Specialist 1451 Hillside Dr, Clarks Summit, PA 18411-9504 2007-02-26
1568598381 Peter Paul Cupple Specialist 1451 Hillside Dr, Clarks Summit, PA 18411-9504 2007-02-26
1699816496 Alan Robert Benson Psychologist 1451 Hillside Dr, Clarks Summit, PA 18411-9504 2007-02-12
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881228153 Hayley Nicole Zelinka Physical Therapist 1000 Edella Road, South Abington, PA 18411 2020-02-26
1023657269 Erica Lynn Bednarz Physical Therapist 1001 Scenic Drive, Clarks Summit, PA 18411 2020-01-06
1386298842 Gj-mac Enterprises LLC In Home Supportive Care 506 N State Street, Clarks Summit, PA 18411 2019-08-01
1609392117 Colleen Marie Dougherty Nurse Practitioner 1145 Northern Boulevard, South Abington, PA 18411 2017-08-16
1629438312 Christopher Oyede Psychiatry & Neurology 1508 Applewood Acres, South Abington, Clarks Summit, PA 18411 2016-02-24
1194107326 Russell Zapko Physical Medicine & Rehabilitation 100 Edella Road, South Abington, PA 18411 2015-06-24
1952719619 Geisinger Clinic Family Medicine 790 North Blvd, Suite K, Clarks Summit, PA 18411 2014-07-25
1437428182 Gloria Marie Gigliotti Behavioral Analyst 718 South State Street, Caregivers of America, Clsarks Summit, PA 18411 2011-12-27
1790064137 John D Cacciamani Internal Medicine 1345 Glenview Rd., Clarks Summit, PA 18411 2011-08-16
1235372418 Five Star Quality Care-ghv, LLC Assisted Living Facility 950 Morgan Highway, Clarks Summit, PA 18411 2009-04-17
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Taxonomy Information

Taxonomy Code 283Q00000X
Grouping Hospitals
Classification Psychiatric Hospital

Taxonomy Definition

An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1639715618 Reading Behavioral Healthcare, LLC Psychiatric Hospital 201 Wellness Way, Reading, PA 19605 2019-11-25
1396218871 Kidspeace Children's Hospital, Inc. Psychiatric Hospital 451 Chew St Ste 105, Allentown, PA 18102-3412 2019-01-07
1063929115 Lancaster Behavioral Health Hospital LLC Psychiatric Hospital 333 Harrisburg Ave, Lancaster, PA 17603 2018-01-10
1811440399 Temple University Hospital Psychiatric Hospital 100 East Lehigh Ave Suite 305b, Philadelphia, PA 19125 2016-08-01
1801247671 Mhm Inc. Psychiatric Hospital 286 Woodland Dr, Marienville, PA 16239 2016-06-23
1316374432 Hahnemann University Hospital Psychiatric Hospital 4700 City Avenue, Apt 12307, Philadelphia, PA 19131 2013-10-03
1730447228 Western Psychiatric Institute and Clinic Psychiatric Hospital 102 Harbison Pl, Pittsburgh, PA 15212-2248 2012-05-02
1922386358 North Philadelphia Health System Psychiatric Hospital 801 W. Girard Ave, Philadelphia, PA 19122-4212 2011-08-03
1902061922 Va Highland Drive Psychiatric Hospital 10 Allegheny Ctr, Apt 224, Pittsburgh, PA 15212-5245 2008-07-21
1972621597 Pennsylvania Department of Public Welfare Psychiatric Hospital Cameron and Maclay, Dpw Bfo Ros, Harrisburg, PA 17103 2007-03-26
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Competitor

Search similar providers

City CLARKS SUMMIT
Zip Code 18411

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Dataset Information

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.

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