Organization Active NPI

The Ellen O'Brien Gaiser Addiction Center Inc

  • Substance Abuse Rehabilitation Facility
  • Butler, PA
National Provider Identifier
1811051345
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
101064 Issued in PA
Legal business name
THE ELLEN O'BRIEN GAISER ADDICTION CENTER INC
Practice address
165 Old Plank Rd
Butler, PA 16002-7523
Phone
(724) 287-8205
NPI assigned
Dec 20, 2006
Last updated
Dec 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Authorized official

Name
Mrs. Linda Franiewski
Title
Executive Director
Phone
(724) 287-8205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 101064 PA Primary

Addresses

Primary practice location

165 Old Plank Rd
Butler, PA 16002-7523

Mailing address

PO Box 2127
Butler, PA 16003-2127
Phone (724) 287-8205

Other identifiers 2

IdentifierTypeStateIssuer
01116440MedicaidPA
01724720MedicaidPA

National Provider Directory

National Provider Directory
Tax ID family
The Ellen O'Brien Gaiser Addiction Center Inc2 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.

Locations

165 Old Plank Rd
Butler, PA 16002
Phone (724) 287-8205

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1811051345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2127",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160032127",
            "telephone_number": "724-287-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 OLD PLANK RD",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160027523",
            "telephone_number": "724-287-8205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ELLEN O'BRIEN GAISER ADDICTION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "FRANIEWSKI",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "724-287-8205",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "PA",
            "license": "101064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01116440",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01724720",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Dec 17, 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.