Still Waters Family Health Services
LBN: Still Waters Mental Health Services, Llc
Still Waters Family Health Services is an health care organization with primary practice located at 216 N 2Nd St Ste 5 , Clearfield PA 16830-2547. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Multi-Specialty, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty.
Still Waters Mental Health Services, Llc can be contacted via phone (814) 205-4025, or through Shaw, Bradley J. via phone (814) 205-4025.
Contact Information
Primary practice address
216 N 2Nd St Ste 5
Clearfield PA 16830-2547
Phone: (814) 205-4025
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X |
Profile Details
| NPI number | 1659991594 |
|---|---|
| LBN Legal business name | Still Waters Mental Health Services, Llc |
| DBA Doing business as | Still Waters Family Health Services |
| Authorized official | Shaw, Bradley J. CRNP |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 21st, 2020 |
| Last updated | Apr 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659991594 | NPPES |
| Pennsylvania | MEDICAID | 103371103 |
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