Organization Active NPI

Trehab

  • Community/Behavioral Health Agency
  • Tunkhannock, PA
National Provider Identifier
1538618202
Registry record updated Sep 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
667065 Issued in PA
Legal business name
TREHAB
Practice address
70 Hollow Crest Rd
Tunkhannock, PA 18657-9507
Phone
(570) 278-3338
Fax
(570) 278-9112
NPI assigned
Sep 23, 2016
Last updated
Sep 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2016

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

Authorized official

Name
Dennis Phelps
Title
Executive Director
Phone
(570) 278-5227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 667065 PA Primary

Addresses

Primary practice location

70 Hollow Crest Rd
Tunkhannock, PA 18657-9507

Mailing address

PO Box 366
36 Public Ave
Montrose, PA 18801-1603
Phone (570) 278-3338

National Provider Directory

National Provider Directory
Tax ID family
The Trehab Center Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474588800000",
    "number": "1538618202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366",
            "address_2": "36 PUBLIC AVE",
            "city": "MONTROSE",
            "state": "PA",
            "postal_code": "188011603",
            "telephone_number": "570-278-3338",
            "fax_number": "570-278-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 HOLLOW CREST RD",
            "city": "TUNKHANNOCK",
            "state": "PA",
            "postal_code": "186579507",
            "telephone_number": "570-278-3338",
            "fax_number": "570-278-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-09-23",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "570-278-5227"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "667065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tunkhannock, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2016; 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.