Clarvida

LBN: Redco Group, Llc
Clarvida is an health care organization with primary practice located at 16 S Centre St , Pottsville PA 17901-3001. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adolescent and Children Mental Health, which is considered as the primary health care specialty. Redco Group, Llc can be contacted via phone (570) 628-5234, or through Sohosky, Tim via phone (570) 628-5215.

Contact Information

Primary practice address
16 S Centre St Pottsville PA 17901-3001
Phone: (570) 628-5234
Fax: (570) 628-9051
Website:
Map and Directions
Authorized official contact:
Name: Sohosky, Tim
Phone: (570) 628-5215

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X 209010 Pennsylvania

Profile Details

NPI number 1245215268
LBN Legal business name Redco Group, Llc
DBA Doing business as Clarvida
Authorized official Sohosky, Tim
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2005
Last updated Jul 12th, 2024 - about 5 months 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 1245215268 NPPES
Pennsylvania MEDICAID 1000017170155

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