Organization Active NPI

Secure Health, LP

  • Physical Therapy Clinic/Center
  • Mount Carmel, PA
National Provider Identifier
1154592939
Registry record updated Apr 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SECURE HEALTH, LP
Practice address
700 W 3Rd St
Mount Carmel, PA 17851-1855
Phone
(570) 339-3909
Fax
(570) 339-1745
NPI assigned
Mar 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2009

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

Authorized official

Name
Mr. Brian D Klingerman
Title
Vice President
Phone
(570) 784-0111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

700 W 3Rd St
Mount Carmel, PA 17851-1855

Mailing address

700 W 3Rd St
Mount Carmel, PA 17851-1855
Phone (570) 339-3909

Other identifiers 1

IdentifierTypeStateIssuer
001450531OtherBLUE SHIELD PROFESSIONAL

Other names 1

  • MOUNT CARMEL OUTPATIENT REHAB CLINIC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mount Carmel Outpatient Rehab Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240272000000",
    "number": "1154592939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 W 3RD ST",
            "city": "MOUNT CARMEL",
            "state": "PA",
            "postal_code": "178511855",
            "telephone_number": "570-339-3909",
            "fax_number": "570-339-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W 3RD ST",
            "city": "MOUNT CARMEL",
            "state": "PA",
            "postal_code": "178511855",
            "telephone_number": "570-339-3909",
            "fax_number": "570-339-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECURE HEALTH, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2009-04-21",
        "status": "A",
        "authorized_official_last_name": "KLINGERMAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "570-784-0111",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROFESSIONAL",
            "identifier": "001450531",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOUNT CARMEL OUTPATIENT REHAB CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Carmel, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; 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.