Active NPI
Marlin Ventures LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Wexford, PA
National Provider Identifier
1477959757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- MARLIN VENTURES LLC
- Practice address
- 6500 Brooktree Rd
Wexford, PA 15090-9272 - Phone
- (724) 935-0460
- NPI assigned
- Nov 13, 2014
- 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
- Hirsch Chinn
- Title
- Coo
- Phone
- (412) 512-7306
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
6500 Brooktree Rd
Wexford, PA 15090-9272
Mailing address
PO Box 1030
Brick, NJ 08723-0090
Other names 1
- Brooktree Health Services
National Provider Directory
National Provider DirectoryLocations
6500 Brooktree Rd
Wexford, PA 15090
Phone (724) 935-2955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1415836800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1416355200000",
"number": "1477959757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1030",
"city": "BRICK",
"state": "NJ",
"postal_code": "087230090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 BROOKTREE RD",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150909272",
"telephone_number": "724-935-0460"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARLIN VENTURES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-13",
"last_updated": "2014-11-19",
"status": "A",
"authorized_official_last_name": "CHINN",
"authorized_official_first_name": "HIRSCH",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "412-512-7306"
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Brooktree Health Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wexford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.