NPIMap

Organization Active NPI

Menno Haven Inc

Doing business as Menno Haven Physician Services

  • Geriatric Medicine (Internal Medicine) Physician
  • Chambersburg, PA
National Provider Identifier
1144217738
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
MENNO HAVEN INC
Doing business as
Menno Haven Physician Services
Practice address
1425 Philadelphia Ave
Chambersburg, PA 17201-1386
Phone
(717) 261-4194
Fax
(717) 261-4319
NPI assigned
Sep 29, 2005
Last updated
Mar 3, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
MENNO HAVEN INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Authorized official

Name
Ms. Ana Crider
Title
Cfo
Phone
(717) 262-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X NU Primary

Addresses

Primary practice location

1425 Philadelphia Ave
Chambersburg, PA 17201-1386

Mailing address

1425 Philadelphia Ave
Chambersburg, PA 17201-1386
Phone (717) 261-4194

Other names 1

  • Menno Haven Physician Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Menno-Haven Inc8 organizations share this tax ID, including this one
Part of
Menno-Haven Inc

Other organizations with this tax ID 7

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

Locations

2011 Scotland Ave
Chambersburg, PA 17201
Phone (717) 217-2097

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1144217738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 PHILADELPHIA AVE",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172011386",
            "telephone_number": "717-261-4194",
            "fax_number": "717-261-4319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 PHILADELPHIA AVE",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172011386",
            "telephone_number": "717-261-4194",
            "fax_number": "717-261-4319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENNO HAVEN INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MENNO HAVEN INC",
        "enumeration_date": "2005-09-29",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "CRIDER",
        "authorized_official_first_name": "ANA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "717-262-1000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Menno Haven Physician Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chambersburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.