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Organization Active NPI

Wilkes Barre Behavioral Hospital Company LLC

  • Case Management Agency
  • Wilkes Barre, PA
National Provider Identifier
1982835484
Registry record updated Jul 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
220930 Issued in PA
Legal business name
WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC
Practice address
110 S Pennsylvania Ave
Wilkes Barre, PA 18701-3301
Phone
(570) 552-6000
NPI assigned
Jul 31, 2009
Organization subpart
Yes
Parent organization
WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 31, 2009

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

Authorized official

Name
Laurie Holtsford
Title
Director
Phone
(615) 465-7466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 220930 PA Primary

Addresses

Primary practice location

110 S Pennsylvania Ave
Wilkes Barre, PA 18701-3301

Mailing address

562 Wyoming Ave
Kingston, PA 18704-3721
Phone (570) 552-3625

Other names 1

  • Community Counseling Services of Northeastern Pennsylvania Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wilkes Barre Behavioral Hospital Company LLC24 organizations share this tax ID, including this one
Part of
Wilkes Barre Behavioral Hospital Company LLC

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

Locations

110 S Pennsylvania Ave
Wilkes Barre, PA 18701
Phone (570) 552-6000

NPI Registry JSON

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248998400000",
    "number": "1982835484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 WYOMING AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187043721",
            "telephone_number": "570-552-3625",
            "fax_number": "570-552-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S PENNSYLVANIA AVE",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187013301",
            "telephone_number": "570-552-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WILKES BARRE BEHAVIORAL HOSPITAL COMPANY LLC",
        "enumeration_date": "2009-07-31",
        "last_updated": "2009-07-31",
        "status": "A",
        "authorized_official_last_name": "HOLTSFORD",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-465-7466"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "PA",
            "license": "220930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Counseling Services of Northeastern Pennsylvania",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2009; 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.