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NPI Code Detail

MEDICARE: PYRAMID HEALTHCARE, INC.

MEDICARE: PYRAMID HEALTHCARE, INC.
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
1261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
2323P00000XPsychiatric Residential Treatment Facility
3251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1659988525
Entity Type Code : Organization
Provider Name (Legal Business Name) : PYRAMID HEALTHCARE, INC.
Provider Business Mailing Address
First Line : PO BOX 967
Second Line :
City : DUNCANSVILLE
State : PA
Zip : 16635-0967
Country : US
Telephone Number : 814-947-6823
Fax Number :
Provider Business Practice Location Address
First Line : 245 CHESAPEAKE AVE
Second Line :
City : NEWPORT NEWS
State : VA
Zip : 23607-6038
Country : US
Telephone Number : 757-817-7570
Fax Number :
Authorized Official
Title or Position : CEO
Name : JASON HENDRICKS
Credential :
Telephone Number : 814-940-0407
Provider Enumeration Date : 09/25/2020
Last Update Date : 04/10/2024

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Directions to “PYRAMID HEALTHCARE, INC. ” Practice Location

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