Organization Active NPI

Bradford County Human Services

  • Case Management Agency
  • Towanda, PA
National Provider Identifier
1285891580
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
BRADFORD COUNTY HUMAN SERVICES
Practice address
220 Main St Unit 1
Towanda, PA 18848-1822
Phone
(570) 265-1760
Fax
(570) 265-8541
NPI assigned
May 22, 2008
Last updated
Jul 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Gertrude Kingsley
Title
Fiscal Officer
Phone
(570) 265-1760

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

220 Main St Unit 1
Towanda, PA 18848-1822

Mailing address

220 Main St Unit 1
Towanda, PA 18848-1822
Phone (570) 265-1760

Other identifiers 1

IdentifierTypeStateIssuer
1007780690006OtherPATARGETED CASE MANAGEMENT - ICM/BMP

National Provider Directory

National Provider Directory
Tax ID family
Bradford County Human Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1285891580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 MAIN ST UNIT 1",
            "city": "TOWANDA",
            "state": "PA",
            "postal_code": "188481822",
            "telephone_number": "570-265-1760",
            "fax_number": "570-265-8541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 MAIN ST UNIT 1",
            "city": "TOWANDA",
            "state": "PA",
            "postal_code": "188481822",
            "telephone_number": "570-265-1760",
            "fax_number": "570-265-8541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADFORD COUNTY HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "KINGSLEY",
        "authorized_official_first_name": "GERTRUDE",
        "authorized_official_title_or_position": "FISCAL OFFICER",
        "authorized_official_telephone_number": "570-265-1760"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TARGETED CASE MANAGEMENT - ICM/BMP",
            "identifier": "1007780690006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towanda, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.