Kidspeace National Center, Inc
LBN: Kidspeace National Center, Inc
Kidspeace National Center, Inc is an health care organization with primary practice located at 500 N Centre Street Suite 104 , Pottsville PA 17901. The organization recently has 2 registered licenses in different health care specialties including Agencies / Foster Care Agency, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty.
Kidspeace National Center, Inc can be contacted via phone (570) 516-9987, or through Slack, Michael W via phone (610) 799-8405.
Contact Information
Primary practice address
500 N Centre Street Suite 104
Pottsville PA 17901
Phone: (570) 516-9987
Fax: (570) 581-5103
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Foster Care Agency | 253J00000X | 222190 | Pennsylvania |
| Agencies / Foster Care Agency | 253J00000X | 206200 | Pennsylvania |
| Agencies / Foster Care Agency | 253J00000X | 206180 | Pennsylvania |
| Agencies / Foster Care Agency | 253J00000X | 206210 | Pennsylvania |
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X | 222190 | Pennsylvania |
Profile Details
| NPI number | 1912042300 |
|---|---|
| LBN Legal business name | Kidspeace National Center, Inc |
| DBA Doing business as | |
| Authorized official | Slack, Michael W |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Jul 21st, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912042300 | NPPES |
| Pennsylvania | MEDICAID | 100763290-0096 | |
| Pennsylvania | MEDICAID | 100763290-0105 |
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