Organization Active NPI

Beaver County MH Mr Drug & Alcohol Program

Doing business as Beaver County Behavioral Health

  • Community/Behavioral Health Agency
  • Beaver Falls, PA
National Provider Identifier
1457408759
Registry record updated Apr 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BEAVER COUNTY MH MR DRUG & ALCOHOL PROGRAM
Doing business as
Beaver County Behavioral Health
Practice address
1040 8TH Ave
Beaver Falls, PA 15010-4506
Phone
(724) 847-6225
NPI assigned
Jan 5, 2007
Last updated
Apr 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2009

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

Authorized official

Name
Gerard Mike
Title
Administrator
Phone
(724) 847-6225

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Public Health or Welfare Agency 251K00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1040 8TH Ave
Beaver Falls, PA 15010-4506

Mailing address

1040 8TH Ave
Beaver Falls, PA 15010-4506
Phone (724) 847-6225

Other identifiers 5

IdentifierTypeStateIssuer
1007583980031138MedicaidPA
1007583980002MedicaidPA
1007583980006MedicaidPA
1007583980023MedicaidPA
1007583980017MedicaidPA

Other names 1

  • Beaver County Behavioral Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beaver County MH Mr - Da Program5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

1040 8th Ave
Beaver Falls, PA 15010
Phone (724) 847-6225

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238976000000",
    "number": "1457408759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 8TH AVE",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150104506",
            "telephone_number": "724-847-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 8TH AVE",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150104506",
            "telephone_number": "724-847-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAVER COUNTY MH MR DRUG & ALCOHOL PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2009-04-06",
        "status": "A",
        "authorized_official_last_name": "MIKE",
        "authorized_official_first_name": "GERARD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "724-847-6225"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007583980031138",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007583980002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007583980006",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007583980023",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007583980017",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beaver County Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaver Falls, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.