Organization Active NPI

Joseph W Scotchlas Funeral Home Inc.

  • Public Health or Welfare Agency
  • Simpson, PA
National Provider Identifier
1184783045
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
012735-L Issued in PA
Legal business name
JOSEPH W SCOTCHLAS FUNERAL HOME INC.
Practice address
621 Main St
Simpson, PA 18407-1307
Phone
(570) 282-3090
Fax
(570) 282-3899
NPI assigned
Dec 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joseph W Scotchlas
Title
President Funeral Director
Phone
(570) 282-3090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 012735-L PA Primary

Addresses

Primary practice location

621 Main St
Simpson, PA 18407-1307

Mailing address

621 Main St
Simpson, PA 18407-1307
Phone (570) 282-3090

Other identifiers 1

IdentifierTypeStateIssuer
101490750 0001MedicaidPA

National Provider Directory

National Provider Directory

Locations

621 Main St
Simpson, PA 18407
Phone (570) 282-3090

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184783045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 MAIN ST",
            "city": "SIMPSON",
            "state": "PA",
            "postal_code": "184071307",
            "telephone_number": "570-282-3090",
            "fax_number": "570-282-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 MAIN ST",
            "city": "SIMPSON",
            "state": "PA",
            "postal_code": "184071307",
            "telephone_number": "570-282-3090",
            "fax_number": "570-282-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH W SCOTCHLAS FUNERAL HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCOTCHLAS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT FUNERAL DIRECTOR",
        "authorized_official_telephone_number": "570-282-3090"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "PA",
            "license": "012735-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101490750 0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Simpson, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.