Active NPI
Soar Corp
- Methadone Clinic
- Lansdowne, PA
National Provider Identifier
1376863043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- License
- 237089
- Legal business name
- SOAR CORP
- Practice address
- 33 Williams St
Lansdowne, PA 19050 - Phone
- (610) 622-1114
- NPI assigned
- Jun 4, 2010
- Organization subpart
- Yes
- Parent organization
- SOAR CORP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christine K Campling
- Title
- Credentialing
- Phone
- (610) 931-1217
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Methadone Clinic | 261QM2800X | 237089 | PA | Primary |
Addresses
Primary practice location
33 Williams St
Lansdowne, PA 19050
Mailing address
33 Williams St
Lansdowne, PA 19050-2730
Phone (610) 622-1114
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1020553790004 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Opioid treatment program
- Medicare-enrolled since Jul 8, 2022
Enrollment records 2
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Soar Corp
Locations
33 Williams St
Lansdowne, PA 19050
Phone (610) 622-1114
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction Medicine (Internal Medicine) Physician
- Philadelphia, PA
- NPI 1912926718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275609600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1535673600000",
"number": "1376863043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 WILLIAMS ST",
"city": "LANSDOWNE",
"state": "PA",
"postal_code": "190502730",
"telephone_number": "610-622-1114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33 WILLIAMS ST",
"city": "LANSDOWNE",
"state": "PA",
"postal_code": "19050",
"telephone_number": "610-622-1114"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOAR CORP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SOAR CORP",
"enumeration_date": "2010-06-04",
"last_updated": "2018-08-31",
"status": "A",
"authorized_official_last_name": "CAMPLING",
"authorized_official_first_name": "CHRISTINE",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "610-931-1217"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": "PA",
"license": "237089",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1020553790004",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lansdowne, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; 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.