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Contact Information

NORTHEAST TREATMENT CENTERS, INC
1709 WASHINGTON AVE
PHILADELPHIA, PA19146-1913
 Phone: 215-546-8060
 Fax: 215-925-6897
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Foster Care Agency

253J00000X
Indicates primary specialty

NPI Profile & details for NORTHEAST TREATMENT CENTERS, INC

NPI Number 1770925992
LBN Legal business name NORTHEAST TREATMENT CENTERS, INC
Authorized official ANNEMARIE STINSON - (BILLING MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/30/2013
Last updated 07/30/2013 - About 13 years ago
Identifiers
PA License # 140040
PA Medicaid 100773572
PA Other 0004972000 INDEPENDENCE BLUE CROSS
PA Other 311749 KEYSTONE HEALTH PLAN EAST
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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