Matthew P Anderson
Individual provider Active NPI Case Manager/Care Coordinator · California, PA
NPI 1023344694 · NPPES record last updated Nov 2, 2009
Key facts
- NPI
- 1023344694
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 1152 Wood St
California, PA 15419-1260 - Phone
- (724) 938-2099
- Fax
- (724) 938-3221
- NPI assigned
- Nov 2, 2009
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
1152 Wood St
California, PA 15419-1260
Mailing address
1070 Old National Pike
Fredericktown, PA 15333-2114
Phone (724) 632-6801
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 328834D024298 | Other | PA | VALUE BEHAVIOR HEALTH |
| 1007288440098 | Medicaid | PA |
Other providers in California, PA
- Amanda Marie Allen
- Christopher M Antonini
- Dennis M Balogh Jr.
- Bruce D. Barnhart
- Celeste Boyer
- Jean Elaine Brown
All providers in California, PA · Case Manager/Care Coordinator in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.