Cornell Abraxas Psru

LBN: Cornell Abraxas Group Inc.
Cornell Abraxas Psru is an health care organization with primary practice located at 429 W 6Th St , Erie PA 16507-1215. The organization recently has only one registered license in Residential Treatment Facilities / Psychiatric Residential Treatment Facility, which is considered as the primary health care specialty. Cornell Abraxas Group Inc. can be contacted via phone (814) 459-0618, or through Denniston, Baron via phone (814) 459-0618.

Contact Information

Primary practice address
429 W 6Th St Erie PA 16507-1215
Phone: (814) 459-0618
Fax: (814) 459-0682
Website:
Map and Directions
Authorized official contact:
Name: Denniston, Baron Doctor of Medicine (MD)
Phone: (814) 459-0618

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Psychiatric Residential Treatment Facility 323P00000X 1007472500003 Pennsylvania

Profile Details

NPI number 1275684060
LBN Legal business name Cornell Abraxas Group Inc.
DBA Doing business as Cornell Abraxas Psru
Authorized official Denniston, Baron Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1275684060 NPPES
Pennsylvania MEDICAID 1007472500001

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