Organization Active NPI

Susquehanna County Drug and Alcohol Commission

  • Case Management Agency
  • Montrose, PA
National Provider Identifier
1295915296
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SUSQUEHANNA COUNTY DRUG AND ALCOHOL COMMISSION
Practice address
7 Lake Ave
Montrose, PA 18801-1032
Phone
(570) 278-7101
Fax
(570) 278-2995
NPI assigned
Nov 7, 2007
Last updated
Nov 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Authorized official

Name
Ms. Jacqueline A Halesky, CAAP
Title
Casemanager
Phone
(570) 278-7101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

7 Lake Ave
Montrose, PA 18801-1032

Mailing address

PO Box 47
Montrose, PA 18801-0047
Phone (570) 278-7101

National Provider Directory

National Provider Directory

Locations

7 Lake Ave
Montrose, PA 18801
Phone (570) 278-7101

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1295915296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47",
            "city": "MONTROSE",
            "state": "PA",
            "postal_code": "188010047",
            "telephone_number": "570-278-7101",
            "fax_number": "570-278-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 LAKE AVE",
            "city": "MONTROSE",
            "state": "PA",
            "postal_code": "188011032",
            "telephone_number": "570-278-7101",
            "fax_number": "570-278-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSQUEHANNA COUNTY DRUG AND ALCOHOL COMMISSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "HALESKY",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CASEMANAGER",
        "authorized_official_telephone_number": "570-278-7101",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CAAP"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montrose, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.