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Contact Information

HISPANIC AMERICAN ORGANIZATION
462 W WALNUT ST.
ALLENTOWN, PA18102
 Phone: 610-435-5334
 Fax: 610-435-2131
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Rehabilitation, Substance Use Disorder

261QR0405X
Indicates primary specialty

NPI Profile & details for HISPANIC AMERICAN ORGANIZATION

NPI # 1629183264
LBN Legal business name HISPANIC AMERICAN ORGANIZATION
Authorized official NEVILLE KOTWAL - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 08/21/2006
Last updated 02/05/2025 - More than a year ago
Identifiers
PA License # 206870
PA License # 212390
PA Medicaid 1001275120004
PA Medicaid 1001275120017
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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