Active NPI
Davis Archway Centers for Addiction Treatment, Inc.
Doing business as The Davis Archway House
- Substance Abuse Rehabilitation Facility
- Butler, PA
National Provider Identifier
1750617668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- DAVIS ARCHWAY CENTERS FOR ADDICTION TREATMENT, INC.
- Doing business as
- The Davis Archway House
- Practice address
- 164 Schiebel Rd
Butler, PA 16002-9324 - Phone
- (724) 992-9633
- NPI assigned
- Oct 28, 2009
- Last updated
- Jun 11, 2020
- 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
- Mr. Chet Leech
- Title
- Ceo
- Phone
- (724) 841-0744
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | NU | ||
| Substance Abuse Rehabilitation Facility | 324500000X | NU | Primary |
Addresses
Primary practice location
164 Schiebel Rd
Butler, PA 16002-9324
Mailing address
164 Schiebel Rd
Butler, PA 16002-9324
Phone (724) 992-9633
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107036 | Other | PA | DEPARTMENT OF DRUG AND ALCOHOL PROGRAMS |
| 1024600580001 | Medicaid | PA |
Other names 1
- The Davis Archway House
National Provider Directory
National Provider Directory- Tax ID family
- Davis Archway Centers for Addiction Treatment Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Davis Archway Treatment Center
- Substance Abuse Rehabilitation Facility
- Emlenton, PA
- NPI 1780218594
Locations
164 Schiebel Rd
Butler, PA 16002
Phone (724) 992-9633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591833600000",
"number": "1750617668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "164 SCHIEBEL RD",
"city": "BUTLER",
"state": "PA",
"postal_code": "160029324",
"telephone_number": "724-992-9633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "164 SCHIEBEL RD",
"city": "BUTLER",
"state": "PA",
"postal_code": "160029324",
"telephone_number": "724-992-9633"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVIS ARCHWAY CENTERS FOR ADDICTION TREATMENT, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-28",
"last_updated": "2020-06-11",
"certification_date": "2020-06-11",
"status": "A",
"authorized_official_last_name": "LEECH",
"authorized_official_first_name": "CHET",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "724-841-0744",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF DRUG AND ALCOHOL PROGRAMS",
"identifier": "107036",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1024600580001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Davis Archway House",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Butler, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.