POLARIS RENEWAL SERVICES II (NPI# 1942779467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942779467 |
| Entity Type | Organization |
| Organization Name | POLARIS RENEWAL SERVICES II |
| Practice Address |
2262 University Dr Lemont Furnace PA 15456-1332 |
| Mailing Address |
3591 Pittsburgh Rd Perryopolis PA 15473-1307 |
| Practice Telephone | 7243238200 |
| Mailing Telephone | 7247368390 |
| Mailing Fax Number | 7247368399 |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2018-11-14 |
| Authorized Official Name | VALERIE GUALAZZI (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7247368390 |
| Is Organization Subpart | Y |
| Parent Organization Name | POLARIS RENEWAL SERVICES, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Polaris Renewal Servcies | Other Name - Individual/Organization |
| Street Address |
2262 UNIVERSITY DR |
| City | LEMONT FURNACE |
| State | PA |
| Zip Code | 15456-1332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477766368 | Amber Lynn Ripani | Physical Therapist | 200 College Drive, Suite 100, Lemont Furnace, PA 15456 | 2007-05-07 |
| 1740492743 | Fayette Resources, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1313 Connellsville Rd, Lemont Furnace, PA 15456 | 2007-05-04 |
| 1538384490 | Lynn J Wyatt | Technician/Technologist | 18 Nickman Plaza, Lemont Furnace, PA 15456 | 2007-04-16 |
| 1144355702 | Stephanie Ann Nickman-triplett | Audiologist | 8 Nickmans Plaza, Audiology & Hearing Aid Services, Lemont Furnace, PA 15456 | 2007-02-23 |
| 1346320223 | James W Nickman | Pharmacist | 3 Nickman's Plaza, Lemont Furnace, PA 15456 | 2006-10-16 |
| 1487748307 | Fayette Homecare | Home Health | 110 Youngstown Road, Lemont Furnace, PA 15456 | 2006-10-03 |
| 1982879110 | Fayette Home Care | Hospice Care, Community Based | 110 Youngstown Road, Lemont Furnace, PA 15456 | 2008-04-29 |
| 1710185343 | Jennifer Lynn Keller-lott | Physical Therapist | 200 College Dr, Suite 100, Lemont Furnace, PA 15456 | 2007-07-05 |
| 1295951481 | Kathy Marie Higgins | Physical Therapist | 200 College Dr, Suite 100, Lemont Furnace, PA 15456 | 2007-04-17 |
| 1083794887 | Karen M Nickman | Pharmacist | 3 Nickman's Plaza, Lemont Furnace, PA 15456 | 2006-10-16 |
| Find all providers in zip 15456 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1033487780 | Medical Technical Rehabilitation LLC | Clinic/Center | 1984 Route 22 Hwy W, Blairsville, PA 15717-1264 | 2011-12-09 |
| Find all providers with the same taxonomy | ||||
| City | LEMONT FURNACE |
| Zip Code | 15456 |
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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.