Organization Active NPI

Clinical Research Associates of Central PA, LLC

  • Research Clinic/Center
  • Altoona, PA
National Provider Identifier
1497139166
Registry record updated Jul 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Research Clinic/CenterTaxonomy code 261QR1100X
Legal business name
CLINICAL RESEARCH ASSOCIATES OF CENTRAL PA, LLC
Practice address
1616 E Pleasant Valley Blvd
Altoona, PA 16602-7308
Phone
(814) 940-1212
Fax
(814) 940-1211
NPI assigned
Jul 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2015

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

Authorized official

Name
Shari A Edevane, RN BSN
Title
President
Phone
(814) 940-1212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Research Clinic/Center 261QR1100X Primary

Addresses

Primary practice location

1616 E Pleasant Valley Blvd
Altoona, PA 16602-7308

Mailing address

793 Frankstown Rd
Altoona, PA 16601-6805
Phone (814) 940-1212

National Provider Directory

National Provider Directory

Locations

1616 E Pleasant Valley Blvd
Altoona, PA 16602
Phone (814) 822-0556

NPI Registry JSON

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

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436745600000",
    "number": "1497139166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "793 FRANKSTOWN RD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166016805",
            "telephone_number": "814-940-1212",
            "fax_number": "814-940-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 E PLEASANT VALLEY BLVD",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166027308",
            "telephone_number": "814-940-1212",
            "fax_number": "814-940-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL RESEARCH ASSOCIATES OF CENTRAL PA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-13",
        "last_updated": "2015-07-13",
        "status": "A",
        "authorized_official_last_name": "EDEVANE",
        "authorized_official_first_name": "SHARI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-940-1212",
        "authorized_official_credential": "RN BSN"
    },
    "taxonomies": [
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2015; 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.