NPIMap

Organization Active NPI

PB Outpatient Services Pennsylvania, LLC

  • Substance Abuse Rehabilitation Facility
  • Hanover, PA
National Provider Identifier
1922585348
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
PB OUTPATIENT SERVICES PENNSYLVANIA, LLC
Practice address
544 Iron Ridge Rd
Hanover, PA 17331-6838
Phone
(717) 225-3906
NPI assigned
Jul 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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

Authorized official

Name
Marina Freeman
Title
Edi/Specialist
Phone
(615) 567-7256

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

544 Iron Ridge Rd
Hanover, PA 17331-6838

Mailing address

PO Box 207819
Dallas, TX 75320-7819
Phone (717) 225-3906

Other names 1

  • Clarity Way Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Clarity Way2 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.

NPI Registry JSON

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564099200000",
    "number": "1922585348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207819",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753207819",
            "telephone_number": "717-225-3906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "544 IRON RIDGE RD",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173316838",
            "telephone_number": "717-225-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PB OUTPATIENT SERVICES PENNSYLVANIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-27",
        "last_updated": "2019-07-26",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "EDI/SPECIALIST",
        "authorized_official_telephone_number": "615-567-7256"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarity Way",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hanover, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; 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.