NPIMap

Organization Active NPI

Freedom Healthcare Services

  • Community/Behavioral Health Agency
  • Bridgeville, PA
National Provider Identifier
1306093349
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FREEDOM HEALTHCARE SERVICES
Practice address
316 Station St
Suite 100
Bridgeville, PA 15017-1833
Phone
(412) 221-1091
Fax
(412) 221-2939
NPI assigned
Aug 21, 2008
Last updated
Jan 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2012

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

Authorized official

Name
Mr. Hunter Farmer
Title
President
Phone
(412) 221-1091

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Methadone Clinic 261QM2800X 707264 PA

Addresses

Primary practice location

316 Station St
Suite 100
Bridgeville, PA 15017-1833

Mailing address

316 Station St
Suite 100
Bridgeville, PA 15017-1833
Phone (412) 221-1091

Other identifiers 1

IdentifierTypeStateIssuer
707264OtherPAPA FACILITY LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090319000125 PA Part B Supplier - Clinic/Group Practice 9830256874 Receives reassigned benefits from 10 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bridgeville, PA; Ellwood City, PA

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Tax ID family
Freedom Healthcare 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.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

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": "1219276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1306093349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 STATION ST",
            "address_2": "SUITE 100",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171833",
            "telephone_number": "412-221-1091",
            "fax_number": "412-221-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 STATION ST",
            "address_2": "SUITE 100",
            "city": "BRIDGEVILLE",
            "state": "PA",
            "postal_code": "150171833",
            "telephone_number": "412-221-1091",
            "fax_number": "412-221-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-21",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "HUNTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-221-1091",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "PA",
            "license": "707264",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA FACILITY LICENSE",
            "identifier": "707264",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; 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.