Conneaut Valley Health Center Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW015852 Issued in PA

Legal business name

CONNEAUT VALLEY HEALTH CENTER INC.

Doing business as

Conneaut Valley Mental Health

Practice address

747 Terrace St
Meadville, PA 16335-1737

Phone

(814) 373-2976

Fax

(814) 333-7071

NPI assigned

Sep 9, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Michael C Downing, FACHE

Title

Chief Executive Officer

Phone

(814) 373-2449

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• CONNEAUT VALLEY MENTAL HEALTH Doing business as

Tax ID family

Conneaut Valley Health Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Conneaut Valley Health Center Podiatry

  • Primary Podiatric Medicine Podiatrist
  • Conneautville, PA
  • NPI 1356473094
  NPD tax ID
• Conneaut Valley Health Center, Inc.

  dba Valley Dental Center

  • Dental Clinic/Center
  • Conneautville, PA
  • NPI 1699829069
  NPD tax ID

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1396994885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 WASHINGTON ST",
            "address_2": "PO BOX E",
            "city": "CONNEAUTVILLE",
            "state": "PA",
            "postal_code": "164067138",
            "telephone_number": "814-373-2276",
            "fax_number": "814-587-2918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 TERRACE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163351737",
            "telephone_number": "814-373-2976",
            "fax_number": "814-333-7071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNEAUT VALLEY HEALTH CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "DOWNING",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "814-373-2449",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FACHE"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007230030015",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CE7746",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC/BS",
            "identifier": "191386",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CONNEAUT VALLEY MENTAL HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Compass Group USA, Inc. by & Through Its Bateman Division
• Comprehensive Pain Care Physicians
• Robert R Concilus, M.D.
• Alex Confer, LPC
• Conneaut Valley Health Center Inc. (Meadville Community Health Center)
• Lisa D. Conrad, DO
• Hannah Malka Cosdon, LCSW
• Counseling by Bob Stein, LLC (CBS)
• Ana C Couto, MD
• Michelle Covert, LPC

• Clinical Social Worker in Meadville, PA
• Providers in Meadville, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; 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.