PENNSYLVANIA ASSOCIATES, LLC (NPI# 1447580584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447580584 |
| Entity Type | Organization |
| Organization Name | PENNSYLVANIA ASSOCIATES, LLC |
| Other Organization Name | MOUNT POCONO MEDICAL |
| Practice Address |
663 Mount Pocono Blvd Unit 3 Mount Pocono PA 18344 |
| Mailing Address |
1317 Route 73 Ste 200 Mount Laurel NJ 08054-2202 |
| Practice Telephone | 5708397246 |
| Practice Fax Number | 5708397248 |
| Mailing Telephone | 8564396111 |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2019-12-06 |
| Authorized Official Name | ROBYN TANIS (EXECUTIVE DIRECTOR OF CONTRACT MGMT) |
| Authorized Official Telephone | 8565338762 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
457036 | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PA DEPARTMENT OF HEALTH LICENSE NUMBER | 457036 | 01 |
| Other Name | Type Code |
|---|---|
| Mount Pocono Medical | Doing Business As Name - Organization |
| Street Address |
663 MOUNT POCONO BLVD UNIT 3 |
| City | MOUNT POCONO |
| State | PA |
| Zip Code | 18344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063986008 | Louise Knight-long | Counselor | 4 Fork Street, Suite 13080, Third Floor, Tobyhanna, PA 18344 | 2019-01-13 |
| 1437629813 | Susan Franchetti | Pharmacist | 3236 Route 940 Suite 116, Mount Pocono, PA 18344 | 2018-11-28 |
| 1154743904 | Jeffrey Jerome Jordan | Pharmacist | Rt 940 Mt Pocono Plaza, Weis Pharmacy, Mt. Pocono, PA 18344 | 2014-01-14 |
| 1477845550 | Rosaura Viruet-avillan | Pharmacist | 103 Rt 940, Mt Pocono, PA 18344 | 2011-05-09 |
| 1457668741 | Stages Family Services | Contractor | 413 Rt 940 Suite 334, Mt. Pocono, PA 18344 | 2010-09-08 |
| 1821304544 | Forensic Counseling Associates LLC | Social Worker | 1385 Pocono Blvd., Forensic Counseling Associates, LLC, Mt. Pocono, PA 18344 | 2010-08-19 |
| 1306897855 | Geisinger Clinic | Pathology | 21 Commerce Ct, Mt Pocono, PA 18344 | 2006-05-12 |
| 1013971480 | Patricia A Polinski | Social Worker | 663 Pocono Blvd., Mt. Pocono, PA 18344 | 2006-04-13 |
| 1902892532 | Kimberly Ann Martini | Pharmacist | 89 Sr 940 (route 940 & 611), Mount Pocono, PA 18344 | 2005-09-20 |
| 1861855876 | Halime El-hajmoussa | Family Medicine | 126 Market Way, Mount Pocono, PA 18344 | 2016-03-29 |
| Find all providers in zip 18344 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
| City | MOUNT POCONO |
| Zip Code | 18344 |
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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.