Southerncare Washington

LBN: Southerncare, Inc.
Southerncare Washington is an health care organization with primary practice located at 90 W Chestnut St Suite 500, Washington PA 15301-4524. The organization recently has only one registered license in Agencies / Hospice Care, Community Based, which is considered as the primary health care specialty. Southerncare, Inc. can be contacted via phone (724) 222-7425, or through Kleberg, Jessica via phone (704) 664-2876.

Contact Information

Primary practice address
90 W Chestnut St Suite 500 Washington PA 15301-4524
Fax: (724) 222-7428
Website:
Authorized official contact:
Name: Kleberg, Jessica

Health care specialties

SpecialtyCodeLicense #State
Agencies / Hospice Care, Community Based 251G00000X 16651601 Pennsylvania

Profile Details

NPI number 1457390841
LBN Legal business name Southerncare, Inc.
DBA Doing business as Southerncare Washington
Authorized official Kleberg, Jessica
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2006
Last updated May 16th, 2016 - about 9 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 1457390841 NPPES
Pennsylvania MEDICAID 00890434000
Pennsylvania MEDICAID 1008904340005

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