Clarks Summit State Hospital

LBN: Pennsylvania Department Of Human Services
Clarks Summit State Hospital is an health care organization with primary practice located at 1451 Hillside Dr , Clarks Summit PA 18411-9504. The organization recently has 3 registered licenses in different health care specialties including Hospitals / Psychiatric Hospital, Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy. Hospitals / Psychiatric Hospital is the primary health care specialty. Pennsylvania Department Of Human Services can be contacted via phone (570) 587-7250, or through Light, Kathy via phone (717) 772-2518.

Contact Information

Primary practice address
1451 Hillside Dr Clarks Summit PA 18411-9504
Phone: (570) 587-7250
Fax: (570) 587-7415
Website:
Map and Directions
Authorized official contact:
Name: Light, Kathy
Phone: (717) 772-2518

Health care specialties

SpecialtyCodeLicense #State
Hospitals / Psychiatric Hospital 283Q00000X
Suppliers / Institutional Pharmacy 3336I0012X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1447233424
LBN Legal business name Pennsylvania Department Of Human Services
DBA Doing business as Clarks Summit State Hospital
Authorized official Light, Kathy
Entity Organization
Organization subpart 1 No
Enumeration date Nov 23rd, 2005
Last updated Oct 4th, 2021 - about 3 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 1447233424 NPPES
Pennsylvania MEDICAID 100308518

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