NPIMap

Organization Active NPI

Freedom Healthcare Services

  • Multi-Specialty Clinic/Center
  • Bridgeville, PA
National Provider Identifier
1386881886
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
707264 Issued in PA
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
Jan 21, 2009
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. Louis H Farmer III
Title
President
Phone
(412) 221-1091

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 707264 PA Primary
Addiction Medicine (Family Medicine) Physician 207QA0401X 350267065S OH
Gynecology Physician 207VG0400X MD034854L 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
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.

Locations

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

Practitioners & affiliated clinicians

Practitioners 11

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": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1386881886",
    "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": "2009-01-21",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "412-221-1091",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "PA",
            "license": "707264",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "OH",
            "license": "350267065S",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PA",
            "license": "MD034854L",
            "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.