The Bair Foundation of Pennsylvania

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

432940 Issued in PA

Legal business name

THE BAIR FOUNDATION OF PENNSYLVANIA

Practice address

615 Howard Avenue
Executive House
Altoona, PA 16601

Phone

(814) 941-5382

Fax

(814) 940-1703

NPI assigned

Oct 12, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Deborah Esbenshade

Title

Cfo

Phone

(724) 946-8711

Specialties & licenses 3

Addresses

Other identifiers 3

Tax ID family

The Bair Foundation of Pennsylvania2 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.

• The Bair Foundation of Pennsylvania

  • Community/Behavioral Health Agency
  • New Wilmington, PA
  • NPI 1336574821
  NPD tax ID

Locations

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912096041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 HIGH ST",
            "city": "NEW WILMINGTON",
            "state": "PA",
            "postal_code": "161421116",
            "telephone_number": "724-946-8711",
            "fax_number": "724-946-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 HOWARD AVENUE",
            "address_2": "EXECUTIVE HOUSE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "16601",
            "telephone_number": "814-941-5382",
            "fax_number": "814-940-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BAIR FOUNDATION OF PENNSYLVANIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ESBENSHADE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "724-946-8711",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "PA",
            "license": "316390",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "PA",
            "license": "415360",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "PA",
            "license": "432940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015025800003",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015025800001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015025800002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Altoona, PA
• Providers in Altoona, PA by specialty
• Case Management 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.