Clearfield Jefferson Drug and Alcohol Commission

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CLEARFIELD JEFFERSON DRUG AND ALCOHOL COMMISSION

Practice address

104 Main Street
Box 647
Falls Creek, PA 15840-0647

Phone

(814) 371-9002

Fax

(814) 371-9055

NPI assigned

Mar 19, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Mary E. Lash

Title

Executive Director

Phone

(814) 371-9002

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Clearfield Jefferson Drug and Alcohol Commission2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Clearfield Jefferson Drug and Alcohol Commission

  • Case Management Agency
  • Falls Creek, PA
  • NPI 1639394240
  NPD tax ID

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700900503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 647",
            "city": "FALLS CREEK",
            "state": "PA",
            "postal_code": "158400647",
            "telephone_number": "814-371-9002",
            "fax_number": "814-371-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MAIN STREET",
            "address_2": "BOX 647",
            "city": "FALLS CREEK",
            "state": "PA",
            "postal_code": "158400647",
            "telephone_number": "814-371-9002",
            "fax_number": "814-371-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARFIELD JEFFERSON DRUG AND ALCOHOL COMMISSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LASH",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "814-371-9002",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101835590 0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Anne-Stoehr Brubaker, D.C.
• Clearfield Jefferson Drug and Alcohol Commission
• Creative Solutions Therapy LLC
• Dovetail Services, LLC
• Michael A Inzana, D.M.D.
• Keystone Clinic of Chiropractic, LLC
• Light of Mine Pediatric Speech, LLC

• Community/Behavioral Health Agency in Falls Creek, PA
• Providers in Falls Creek, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.