Healthcare Provider Details
I. General information
NPI: 1023138872
Provider Name (Legal Business Name): SERVICE ACCESS AND MANAGEMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/29/2007
Last Update Date: 02/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
19 N 6TH ST SUITE 300
READING PA
19601-3582
US
IV. Provider business mailing address
19 N 6TH ST SUITE 300
READING PA
19601-3582
US
V. Phone/Fax
- Phone: 610-236-0530
- Fax: 610-236-4895
- Phone: 610-236-0530
- Fax: 610-236-4895
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251B00000X |
| Taxonomy | Case Management Agency |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
| # 1 | |
| Identifier | 100006624 0037 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | 100006624 0037 CJ SERVICE COORDIATION |
| # 2 | |
| Identifier | 100006624056 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | DPW |
| # 3 | |
| Identifier | 1000066240036 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | 100006624 0036 CLARION SERVICE COORDINATION |
| # 4 | |
| Identifier | 1000066240012 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | PROMISE ID BERKS ICM |
| # 5 | |
| Identifier | 100006624 0020 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | SCHUYLKILL TSM |
VIII. Authorized Official
Name: MRS.
JENNIFER
LEIGH
SEIDEL
Title or Position: DIRECTOR OF FISCAL OPERATIONS
Credential: MBA
Phone: 610-236-0530