The Arc of Crawford County, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

THE ARC OF CRAWFORD COUNTY, INC.

Doing business as

The Arc of Crawford County, Inc.

Practice address

222 Chestnut St
Meadville, PA 16335-3407

Phone

(814) 724-7346

Fax

(814) 724-7373

NPI assigned

Jun 25, 2020

Last updated

Jun 25, 2020By 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

Mrs. Kerri Jo Boozer

Title

Cfo

Phone

(814) 724-7346

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• The Arc of Crawford County, Inc. Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593043200000",
    "number": "1437775442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 CHESTNUT ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353407",
            "telephone_number": "814-724-7346",
            "fax_number": "814-724-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 CHESTNUT ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163353407",
            "telephone_number": "814-724-7346",
            "fax_number": "814-724-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARC OF CRAWFORD COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-25",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A",
        "authorized_official_last_name": "BOOZER",
        "authorized_official_first_name": "KERRI",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "814-724-7346",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100003408",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.hcsis.state.pa.us/hcsis-ssd/",
            "affiliation": "N",
            "endpointDescription": "Supports Coordination Managment",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "222 Chestnut St",
            "city": "Meadville",
            "state": "PA",
            "country_code": "US",
            "postal_code": "163353407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "The Arc of Crawford County, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Meadville, PA
• Providers in Meadville, PA by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.