NPIMap

Organization Active NPI

Beaver County MH Mr - D&a Program

Doing business as Beaver County Behavioral Health

  • Case Management Agency
  • Beaver Falls, PA
National Provider Identifier
1740404813
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
BEAVER COUNTY MH MR - D&A PROGRAM
Doing business as
Beaver County Behavioral Health
Practice address
1040 8TH Ave
Human Service Building, Floor 2
Beaver Falls, PA 15010-4506
Phone
(724) 847-6225
Fax
(724) 891-2865
NPI assigned
Apr 12, 2007
Last updated
Dec 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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

Authorized official

Name
Gerard Mike
Title
Administrator
Phone
(724) 847-6225

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Public Health or Welfare Agency 251K00000X

Addresses

Primary practice location

1040 8TH Ave
Human Service Building, Floor 2
Beaver Falls, PA 15010-4506

Mailing address

1040 8TH Ave
Human Service Building, Floor 2
Beaver Falls, PA 15010-4506
Phone (724) 847-6225

Other identifiers 2

IdentifierTypeStateIssuer
1007583980007MedicaidPA
1007583980027MedicaidPA

Other names 1

  • Beaver County Behavioral Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beaver County MH Mr Drug Alcohol Program5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1740404813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 8TH AVE",
            "address_2": "HUMAN SERVICE BUILDING, FLOOR 2",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150104506",
            "telephone_number": "724-847-6225",
            "fax_number": "724-891-2865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 8TH AVE",
            "address_2": "HUMAN SERVICE BUILDING, FLOOR 2",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150104506",
            "telephone_number": "724-847-6225",
            "fax_number": "724-891-2865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAVER COUNTY MH MR - D&A PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "MIKE",
        "authorized_official_first_name": "GERARD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "724-847-6225"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007583980007",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007583980027",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beaver County Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaver Falls, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.