Organization Active NPI

Family Service and Children'S Aid Society of Venango County

  • Community/Behavioral Health Agency
  • Polk, PA
National Provider Identifier
1114283587
Registry record updated Jun 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
617018 Issued in PA
Legal business name
FAMILY SERVICE AND CHILDREN'S AID SOCIETY OF VENANGO COUNTY
Practice address
290 Hudmont LN
Polk, PA 16342-5304
Phone
(814) 677-4005
Fax
(814) 677-6159
NPI assigned
Apr 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2017

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

Authorized official

Name
Ms. Mary K Serafin, AB
Title
Executive Director
Phone
(814) 677-4005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 617018 PA Primary

Addresses

Primary practice location

290 Hudmont LN
Polk, PA 16342-5304

Mailing address

716 E 2ND St
Oil City, PA 16301-2330
Phone (814) 677-4005

National Provider Directory

National Provider Directory
Tax ID family
Family Service and Children'S Aid Society of Venango County13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Locations

290 Hudmont Ln
Polk, PA 16342
Phone (814) 677-4005

NPI Registry JSON

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497571200000",
    "number": "1114283587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 E 2ND ST",
            "city": "OIL CITY",
            "state": "PA",
            "postal_code": "163012330",
            "telephone_number": "814-677-4005",
            "fax_number": "814-677-6159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 HUDMONT LN",
            "city": "POLK",
            "state": "PA",
            "postal_code": "163425304",
            "telephone_number": "814-677-4005",
            "fax_number": "814-677-6159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICE AND CHILDREN'S AID SOCIETY OF VENANGO COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2017-06-16",
        "status": "A",
        "authorized_official_last_name": "SERAFIN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "814-677-4005",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "AB"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "617018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Polk, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2017; 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.