Ifc Mental Retardation Services, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

310890 Issued in PA

Legal business name

IFC MENTAL RETARDATION SERVICES, INC.

Practice address

20 N Jefferson St
Mount Union, PA 17066-1267

Phone

(814) 542-9282

Fax

(814) 514-1022

NPI assigned

Aug 15, 2012

Last updated

Aug 15, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Karen Bower, MSW, LSW

Title

Ceo

Phone

(814) 542-9282

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1407104979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 N JEFFERSON ST",
            "city": "MOUNT UNION",
            "state": "PA",
            "postal_code": "170661267",
            "telephone_number": "814-542-9282",
            "fax_number": "814-514-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N JEFFERSON ST",
            "city": "MOUNT UNION",
            "state": "PA",
            "postal_code": "170661267",
            "telephone_number": "814-542-9282",
            "fax_number": "814-514-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IFC MENTAL RETARDATION SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "BOWER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "814-542-9282",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, LSW"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "PA",
            "license": "310890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF PUBLIC WELFARE MASTER PROVIDER INDEX",
            "identifier": "100001646",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Mount Union, PA
• Providers in Mount Union, PA by specialty
• Developmentally Disabled Services Day Training Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.