National Provider Identifier Database

FAYETTE COUNTY MENTAL HEALTH MENTAL RETARDATION PROGRAM
Case Manager/Care Coordinator

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee?s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.


Contact Information

FAYETTE COUNTY MENTAL HEALTH MENTAL RETARDATION PROGRAM
215 JACOB MURPHY LN
UNIONTOWN, PA15401-2777
Phone: 724-430-1370
Fax: 724-430-1386
Website:
Specialty Taxonomy Code
* Case Manager/Care Coordinator 171M00000X
Case Management 251B00000X
Health Maintenance Organization 302R00000X

* Indicates primary specialty

NPI Profile & details for FAYETTE COUNTY MENTAL HEALTH MENTAL RETARDATION PROGRAM

NPI Number 1639202534
Legal business name
LBN
FAYETTE COUNTY MENTAL HEALTH MENTAL RETARDATION PROGRAM
Authorized official DAVID RIDER - (ADMINISTRATOR CEO)
Entity Organization
Organization subpart No
Enumeration date 03/13/2007
Last updated 01/03/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers
  • PA Medicaid: 0017040300001
  • PA Medicaid: 1007538290003
  • PA Medicaid: 1007538290004
  • PA Medicaid: 1007538290005

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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