Mount Pocono Medical

LBN: Pennsylvania Associates, Llc
Mount Pocono Medical is an health care organization with primary practice located at 663 Mount Pocono Blvd Unit 3, Mount Pocono PA 18344. The organization recently has only one registered license in Ambulatory Health Care Facilities / Methadone, which is considered as the primary health care specialty. Pennsylvania Associates, Llc can be contacted via phone (570) 839-7246, or through Tanis, Robyn via phone (856) 533-8762.

Contact Information

Primary practice address
663 Mount Pocono Blvd Unit 3 Mount Pocono PA 18344
Fax: (570) 839-7248
Website:
Authorized official contact:
Name: Tanis, Robyn

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Methadone 261QM2800X 457036 Pennsylvania

Profile Details

NPI number 1447580584
LBN Legal business name Pennsylvania Associates, Llc
DBA Doing business as Mount Pocono Medical
Authorized official Tanis, Robyn
Entity Organization
Organization subpart 1 No
Enumeration date Jan 13th, 2010
Last updated Dec 6th, 2019 - 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 1447580584 NPPES
Pennsylvania Other 457036 PA DEPARTMENT OF HEALTH LICENSE NUMBER

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