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NPI Code Detail

MEDICARE: HUMAN SERVICES CENTER

MEDICARE: HUMAN SERVICES CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
200736433OTHERPAAETNA
300648155OTHERPAHIGHMARK

General Provider Information

NPI Number : 1205890332
Entity Type Code : Organization
Provider Name (Legal Business Name) : HUMAN SERVICES CENTER
Provider Business Mailing Address
First Line : 130 WEST NORTH STREET
Second Line :
City : NEW CASTLE
State : PA
Zip : 16101-3906
Country : US
Telephone Number : 724-658-3578
Fax Number : 724-656-1325
Provider Business Practice Location Address
First Line : 130 WEST NORTH STREET
Second Line :
City : NEW CASTLE
State : PA
Zip : 16101-3906
Country : US
Telephone Number : 724-658-3578
Fax Number : 724-656-1325
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : JEFFREY A STOCKDALE
Credential : CPA
Telephone Number : 724-658-3578
Provider Enumeration Date : 04/14/2006
Last Update Date : 05/01/2015

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Practice Location Address:
130 W NORTH ST
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1982827622 — HUMAN SERVICES CENTER
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1790908432 — HUMAN SERVICES CENTER
Practice Location Address:
130 W NORTH ST
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16101-3906
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Practice Fax: 724-656-1325

Directions to “HUMAN SERVICES CENTER ” Practice Location

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