Phyllis Jeanne Caldwell
Individual provider Active NPI Case Manager/Care Coordinator · Clarion, PA
NPI 1457532152 · NPPES record last updated Nov 21, 2007
Key facts
- NPI
- 1457532152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 15870 Route 322
Ste. 2
Clarion, PA 16214-6376 - Phone
- (814) 764-6066
- Fax
- (814) 764-5669
- NPI assigned
- Nov 21, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarion University of Pennsylvania | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
15870 Route 322
Ste. 2
Clarion, PA 16214-6376
Mailing address
15870 Route 322
Ste. 2
Clarion, PA 16214-6376
Phone (814) 764-6066
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1012909910001 | Medicaid | PA |
Other providers in Clarion, PA
- Butler Medical Providers
- Butler Medical Providers
- Butler Medical Providers
- Amy Buzard
- Jennifer Lee Cain
- Emily Ruth Carbaugh
- Wilhelm Leonard Castellon
- Center for Community Resources, Inc.
- Center for Community Resources, Inc.
- Kirk William Chadwick
All providers in Clarion, PA · Case Manager/Care Coordinator in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.