NPIMap

Organization Active NPI

Fayette Co. Drug & Alcohol Commission

  • Community/Behavioral Health Agency
  • Uniontown, PA
National Provider Identifier
1225215775
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FAYETTE CO. DRUG & ALCOHOL COMMISSION
Practice address
100 New Salem Rd
Suite 106
Uniontown, PA 15401-8936
Phone
(724) 438-3576
Fax
(724) 438-3305
NPI assigned
Jan 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Authorized official

Name
Deanna Sherbondy
Title
Executive Director
Phone
(724) 438-3576

Specialties & licenses 1

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

Addresses

Primary practice location

100 New Salem Rd
Suite 106
Uniontown, PA 15401-8936

Mailing address

100 New Salem Rd
Suite 106
Uniontown, PA 15401-8936
Phone (724) 438-3576

Other identifiers 3

IdentifierTypeStateIssuer
53591OtherPABLUE SHIELD PROVIDER #
1007582440009MedicaidPA
1517783OtherPABLUE SHIELD PROVIDER #

National Provider Directory

National Provider Directory
Tax ID family
Fayette Co Drug Alcohol Commission Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1225215775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NEW SALEM RD",
            "address_2": "SUITE 106",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154018936",
            "telephone_number": "724-438-3576",
            "fax_number": "724-438-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NEW SALEM RD",
            "address_2": "SUITE 106",
            "city": "UNIONTOWN",
            "state": "PA",
            "postal_code": "154018936",
            "telephone_number": "724-438-3576",
            "fax_number": "724-438-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTE CO. DRUG & ALCOHOL COMMISSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "SHERBONDY",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "724-438-3576"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER #",
            "identifier": "53591",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007582440009",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER #",
            "identifier": "1517783",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniontown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.