Carbon Lehigh Intermediate #21

LBN: Carbon Lehigh Intermediate #21
Carbon Lehigh Intermediate #21 is an health care organization with primary practice located at 770 State Rd , Lehighton PA 18235-2857. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Carbon Lehigh Intermediate #21 can be contacted via phone (610) 769-4111, or through Scott, Mark via phone (610) 769-4111.

Contact Information

Primary practice address
770 State Rd Lehighton PA 18235-2857
Phone: (610) 769-4111
Fax: (610) 769-1168
Website:
Map and Directions
Authorized official contact:
Name: Scott, Mark PSY D
Phone: (610) 769-4111

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1205050945
LBN Legal business name Carbon Lehigh Intermediate #21
DBA Doing business as
Authorized official Scott, Mark PSY D
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2007
Last updated Feb 27th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205050945 NPPES
Pennsylvania MEDICAID 100773170-0020

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