NPIMap

Organization Active NPI

Pyramid Healthcare Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Bartonsville, PA
National Provider Identifier
1346614526
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
PYRAMID HEALTHCARE INC
Practice address
3180 Route 611
Suite 19
Bartonsville, PA 18321-7824
Phone
(570) 420-7939
Fax
(610) 434-1179
NPI assigned
Nov 25, 2015
Last updated
Feb 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Authorized official

Name
Mr. Jonathan E Wolf
Title
Ceo
Phone
(814) 940-0407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

3180 Route 611
Suite 19
Bartonsville, PA 18321-7824

Mailing address

3180 Route 611
Suite 19
Bartonsville, PA 18321-7824
Phone (570) 420-7939

Other identifiers 2

IdentifierTypeStateIssuer
457042OtherPALICENSE NUMBER
1007625050090MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
Pyramid Healthcare40 organizations share this tax ID, including this one

Other organizations with this tax ID 39

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

View all 39

Locations

3180 Route 611
Ste 19
Bartonsville, PA 18321
Phone (570) 420-7939

NPI Registry JSON

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

{
    "created_epoch": "1448409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1346614526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 ROUTE 611",
            "address_2": "SUITE 19",
            "city": "BARTONSVILLE",
            "state": "PA",
            "postal_code": "183217824",
            "telephone_number": "570-420-7939",
            "fax_number": "610-434-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 ROUTE 611",
            "address_2": "SUITE 19",
            "city": "BARTONSVILLE",
            "state": "PA",
            "postal_code": "183217824",
            "telephone_number": "570-420-7939",
            "fax_number": "610-434-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PYRAMID HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-25",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "814-940-0407",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "457042",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007625050090",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartonsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.