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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:
Indicates primary specialty

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

NPI # 1639202534
LBN Legal business name FAYETTE COUNTY MENTAL HEALTH MENTAL RETARDATION PROGRAM
Authorized official DAVID RIDER - (ADMINISTRATOR CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 03/13/2007
Last updated 01/03/2024 - About 2 years ago
Identifiers
PA Medicaid 0017040300001
PA Medicaid 1007538290003
PA Medicaid 1007538290004
PA Medicaid 1007538290005
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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