Organization Active NPI

Community County Services, Inc.

  • Community/Behavioral Health Agency
  • Du Bois, PA
National Provider Identifier
1407062425
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
426310 Issued in PA
Legal business name
COMMUNITY COUNTY SERVICES, INC.
Practice address
83 Beaver Dr Ste C
Meadow Plaza II
Du Bois, PA 15801-2435
Phone
(814) 371-8881
Fax
(814) 371-8063
NPI assigned
May 15, 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
Ms. Elaine D. Phillips
Title
Ceo
Phone
(814) 371-8881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 426310 PA Primary

Addresses

Primary practice location

83 Beaver Dr Ste C
Meadow Plaza II
Du Bois, PA 15801-2435

Mailing address

PO Box 938
Du Bois, PA 15801-5938
Phone (814) 371-8881

National Provider Directory

National Provider Directory

Locations

83 Beaver Dr
Ste C
Du Bois, PA 15801
Phone (814) 371-8881

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407062425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 938",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158015938",
            "telephone_number": "814-371-8881",
            "fax_number": "814-371-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 BEAVER DR STE C",
            "address_2": "MEADOW PLAZA II",
            "city": "DU BOIS",
            "state": "PA",
            "postal_code": "158012435",
            "telephone_number": "814-371-8881",
            "fax_number": "814-371-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY COUNTY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "814-371-8881",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "426310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Du Bois, 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.