Organization Active NPI

Cumberland-Perry Drug and Alcohol Commission

  • Case Management Agency
  • Carlisle, PA
National Provider Identifier
1407061120
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CUMBERLAND-PERRY DRUG AND ALCOHOL COMMISSION
Practice address
16 W High St Ste 302
Carlisle, PA 17013-2919
Phone
(717) 240-6300
Fax
(717) 240-6488
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jack Carroll
Title
Executive Director
Phone
(717) 240-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

16 W High St Ste 302
Carlisle, PA 17013-2919

Mailing address

16 W High St Ste 302
Carlisle, PA 17013-2919
Phone (717) 240-6300

Other identifiers 1

IdentifierTypeStateIssuer
1000073090012MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
County of Cumberland2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

16 W High St
Ste 302
Carlisle, PA 17013
Phone (717) 240-6300

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407061120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 W HIGH ST STE 302",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170132919",
            "telephone_number": "717-240-6300",
            "fax_number": "717-240-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 W HIGH ST STE 302",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170132919",
            "telephone_number": "717-240-6300",
            "fax_number": "717-240-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND-PERRY DRUG AND ALCOHOL COMMISSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "717-240-6300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000073090012",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.