NPIMap

Organization Active NPI

Tioga County Dept of Human Services

  • Case Management Agency
  • Wellsboro, PA
National Provider Identifier
1124143615
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
TIOGA COUNTY DEPT OF HUMAN SERVICES
Practice address
1873 Shumway Hill Rd
Wellsboro, PA 16901-6840
Phone
(570) 724-5766
Fax
(570) 724-6036
NPI assigned
Mar 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Authorized official

Name
Mr. Max Harrison
Title
Administrator
Phone
(570) 724-5766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1873 Shumway Hill Rd
Wellsboro, PA 16901-6840

Mailing address

1873 Shumway Hill Rd
Wellsboro, PA 16901-6840
Phone (570) 724-5766

Other identifiers 1

IdentifierTypeStateIssuer
1000000400037MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Tioga County Dept of Human Services16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1124143615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1873 SHUMWAY HILL RD",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169016840",
            "telephone_number": "570-724-5766",
            "fax_number": "570-724-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1873 SHUMWAY HILL RD",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169016840",
            "telephone_number": "570-724-5766",
            "fax_number": "570-724-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIOGA COUNTY DEPT OF HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "570-724-5766",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000000400037",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellsboro, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.