Rcaa Health Services, Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

497026 Issued in PA

Legal business name

RCAA HEALTH SERVICES, INC.

Doing business as

Addiction Help Center

Practice address

11603 State Route 61
Mount Carmel, PA 17851-2583

Phone

(570) 416-8016

Fax

(888) 876-4781

NPI assigned

Jun 16, 2016

Organization subpart

No

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

Authorized official

Name

David Fidler

Title

Cfo

Phone

(570) 415-8016

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Addiction Help Center Doing business as

Locations

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466726400000",
    "number": "1871943241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 E SUNBURY ST",
            "city": "SHAMOKIN",
            "state": "PA",
            "postal_code": "178724964",
            "telephone_number": "570-415-8016",
            "fax_number": "888-876-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11603 STATE ROUTE 61",
            "city": "MOUNT CARMEL",
            "state": "PA",
            "postal_code": "178512583",
            "telephone_number": "570-416-8016",
            "fax_number": "888-876-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RCAA HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-16",
        "last_updated": "2016-06-24",
        "status": "A",
        "authorized_official_last_name": "FIDLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "570-415-8016"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "PA",
            "license": "497026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF DRUG AND ALCOHOL PROGRAMS",
            "identifier": "497026",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Addiction Help Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Mount Carmel, PA
• Providers in Mount Carmel, PA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.