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Organization Active NPI

Liu #12 School Based Partial Hospitalization Program

  • Community/Behavioral Health Agency
  • Wrightsville, PA
National Provider Identifier
1104061118
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
326130 Issued in PA
Legal business name
LIU #12 SCHOOL BASED PARTIAL HOSPITALIZATION PROGRAM
Practice address
320 Chestnut St
Wrightsville Elementary School
Wrightsville, PA 17368-1521
Phone
(717) 252-3676
Fax
(717) 781-5897
NPI assigned
Dec 4, 2008
Organization subpart
Yes
Parent organization
LINCOLN INTERMEDIATE UNIT # 12As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Toni Marie Saylor, M.S.
Title
Director
Phone
(717) 252-3676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 326130 PA Primary

Addresses

Primary practice location

320 Chestnut St
Wrightsville Elementary School
Wrightsville, PA 17368-1521

Mailing address

320 Chestnut St
Wrightsville Elementary School
Wrightsville, PA 17368-1521
Phone (717) 252-3676

Other identifiers 1

IdentifierTypeStateIssuer
326130OtherPADEPARTMENT OF PUBLIC WELFARE

National Provider Directory

National Provider Directory
Tax ID family
Lincoln Intermediate Unit 124 organizations share this tax ID, including this one
Part of
Lincoln Intermediate Unit 12

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

320 Chestnut St
Wrightsville, PA 17368
Phone (717) 252-3676

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1104061118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 CHESTNUT ST",
            "address_2": "WRIGHTSVILLE ELEMENTARY SCHOOL",
            "city": "WRIGHTSVILLE",
            "state": "PA",
            "postal_code": "173681521",
            "telephone_number": "717-252-3676",
            "fax_number": "717-781-5897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 CHESTNUT ST",
            "address_2": "WRIGHTSVILLE ELEMENTARY SCHOOL",
            "city": "WRIGHTSVILLE",
            "state": "PA",
            "postal_code": "173681521",
            "telephone_number": "717-252-3676",
            "fax_number": "717-781-5897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIU #12 SCHOOL BASED PARTIAL HOSPITALIZATION PROGRAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LINCOLN INTERMEDIATE UNIT # 12",
        "enumeration_date": "2008-12-04",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "SAYLOR",
        "authorized_official_first_name": "TONI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "717-252-3676",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "326130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF PUBLIC WELFARE",
            "identifier": "326130",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wrightsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.