NPIMap

Organization Active NPI

Alternative Community Resource Program, Inc.

  • Community/Behavioral Health Agency
  • Johnstown, PA
National Provider Identifier
1265093256
Registry record updated Jun 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ALTERNATIVE COMMUNITY RESOURCE PROGRAM, INC.
Practice address
625 Park Ave
Johnstown, PA 15902-2705
Phone
(814) 535-2277
NPI assigned
Jun 21, 2019
Last updated
Jun 21, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
ALTERNATIVE COMMUNITY RESOURCE PROGRAM, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 21, 2019

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

Authorized official

Name
Kalynn Kerekes
Title
Credentialing
Phone
(814) 535-2277

Specialties & licenses 1

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

Addresses

Primary practice location

625 Park Ave
Johnstown, PA 15902-2705

Mailing address

131 Market St
Johnstown, PA 15901-1628
Phone (814) 535-2277

Other names 1

  • Moxham Neighborhood School Other name

National Provider Directory

National Provider Directory
Tax ID family
Alternative Community Resource Program94 organizations share this tax ID, including this one
Part of
Alternative Community Resource Program

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

625 Park Ave
Johnstown, PA 15902

NPI Registry JSON

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561075200000",
    "number": "1265093256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 MARKET ST",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159011628",
            "telephone_number": "814-535-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 PARK AVE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159022705",
            "telephone_number": "814-535-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTERNATIVE COMMUNITY RESOURCE PROGRAM, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALTERNATIVE COMMUNITY RESOURCE PROGRAM, INC.",
        "enumeration_date": "2019-06-21",
        "last_updated": "2019-06-21",
        "status": "A",
        "authorized_official_last_name": "KEREKES",
        "authorized_official_first_name": "KALYNN",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "814-535-2277"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moxham Neighborhood School",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Johnstown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2019; 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.