NPIMap

Organization Active NPI

Department of Military Affairs Commonwealth of Pennsylvania

Doing business as Southeastern PA Veterans Center

  • Nursing Facility/Intermediate Care Facility
  • Spring City, PA
National Provider Identifier
1285726950
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
Legal business name
DEPARTMENT OF MILITARY AFFAIRS COMMONWEALTH OF PENNSYLVANIA
Doing business as
Southeastern PA Veterans Center
Practice address
1 Veterans Dr
Spring City, PA 19475-1241
Phone
(610) 948-2603
Fax
(610) 948-2461
NPI assigned
Sep 29, 2006
Last updated
May 24, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
DEPARTMENT OF MILITARY AFFAIRS COMMONWEALTH OF PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 24, 2022

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

Authorized official

Name
Mr. Thomas Reed Jr.
Title
Fiscal Services Administrator
Phone
(814) 242-7789

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Military General Acute Care Hospital 2865M2000X 426002 PA
Custodial Care Facility 311Z00000X NU
Nursing Facility/Intermediate Care Facility 313M00000X NU Primary
Skilled Nursing Facility 314000000X 426002 PA

Addresses

Primary practice location

1 Veterans Dr
Spring City, PA 19475-1241

Mailing address

1 Veterans Drive
Spring City, PA 19475-1241
Phone (610) 948-2603

Other names 1

  • Southeastern PA Veterans Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041007000372 PA Part B Supplier - Clinic/Group Practice 1557320348 Receives reassigned benefits from 24 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Erie, PA; Hollidaysburg, PA; Philadelphia, PA; Pittsburgh, PA; Scranton, PA; Spring City, PA

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Commonwealth of PA12 organizations share this tax ID, including this one
Part of
Commonwealth of PA

Other organizations with this tax ID 11

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

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653350400000",
    "number": "1285726950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VETERANS DRIVE",
            "city": "SPRING CITY",
            "state": "PA",
            "postal_code": "194751241",
            "telephone_number": "610-948-2603",
            "fax_number": "610-948-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VETERANS DR",
            "city": "SPRING CITY",
            "state": "PA",
            "postal_code": "194751241",
            "telephone_number": "610-948-2603",
            "fax_number": "610-948-2461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF MILITARY AFFAIRS COMMONWEALTH OF PENNSYLVANIA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEPARTMENT OF MILITARY AFFAIRS COMMONWEALTH OF PA",
        "enumeration_date": "2006-09-29",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "FISCAL SERVICES ADMINISTRATOR",
        "authorized_official_telephone_number": "814-242-7789",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "2865M2000X",
            "taxonomy_group": "",
            "desc": "Military Hospital, Military General Acute Care Hospital",
            "state": "PA",
            "license": "426002",
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "426002",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeastern PA Veterans Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southeastern PA Veterans Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring City, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.