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Adagio Health Inc.

Organization Active NPI Non-Surgical Family Planning Clinic/Center · New Castle, PA

NPI 1104912401 · NPPES record last updated May 27, 2015

Key facts

NPI
1104912401
Entity type
Organization (NPI type 2)
Primary specialty
Non-Surgical Family Planning Clinic/Center 261QF0050X
Legal business name
ADAGIO HEALTH INC.
Practice address
200 South Jefferson Street
New Castle, PA 16101-3924
Phone
(724) 658-6681
Fax
(724) 658-6883
NPI assigned
Oct 5, 2006
Organization subpart
Yes
Parent organization (as reported)
ADAGIO HEALTH INC.

Authorized official

Name
BJ Leber
Title
President/Ceo
Phone
(412) 288-2130

Other NPIs on the same Medicare enrollment 35

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 35

Corporate family (same tax ID) 14

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

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040310000249 PA Part B Supplier - Clinic/Group Practice 3870488950 Receives reassigned benefits from 49 practitioners
35 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: New Castle, PA; Uniontown, PA; Turtle Creek, PA; Seneca, PA; Pittsburgh, PA; Indiana, PA; Greensburg, PA; Erie, PA…

National Provider Directory

Tax ID family
FHC Kittanning (15 organizations share this tax ID)
Part of
FHC Kittanning

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist
Group: 193200000X MULTI-SPECIALTY GROUP		 133N00000X
Nutrition Education Nutritionist
Group: 193200000X MULTI-SPECIALTY GROUP		 133NN1002X
Registered Dietitian
Group: 193200000X MULTI-SPECIALTY GROUP		 133V00000X
Obstetrics & Gynecology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207V00000X
Gynecology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207VG0400X
Obstetrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207VX0000X
Clinic/Center 261Q00000X
Non-Surgical Family Planning Clinic/Center 261QF0050X Yes
Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363L00000X
Family Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363LF0000X
Women's Health Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363LW0102X
Obstetrics & Gynecology Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363LX0001X

Addresses

Primary practice location

200 South Jefferson Street
New Castle, PA 16101-3924

Mailing address

960 Penn Ave
Suite 600
Pittsburgh, PA 15222-3818
Phone (412) 288-2130

Other identifiers

IdentifierTypeStateIssuer
1007284320111MedicaidPA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 27, 2015.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1104912401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 PENN AVE",
            "address_2": "SUITE 600",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152223818",
            "telephone_number": "412-288-2130",
            "fax_number": "412-288-9036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SOUTH JEFFERSON STREET",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161013924",
            "telephone_number": "724-658-6681",
            "fax_number": "724-658-6883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAGIO HEALTH INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADAGIO HEALTH INC.",
        "enumeration_date": "2006-10-05",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "LEBER",
        "authorized_official_first_name": "BJ",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "412-288-2130"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007284320111",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, PA

All providers in New Castle, PA · Non-Surgical Family Planning Clinic/Center in Pennsylvania

Sources for this page

Verify at the official NPI Registry.