Active NPI
Community County Services, Inc.
- Community/Behavioral Health Agency
- Du Bois, PA
National Provider Identifier
1407062425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 426310
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Social Worker
- Du Bois, PA
- NPI 1801042486
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.