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:
Map and Directions
Authorized official contact:
Name: Shaw, Bradley J. CRNP
Phone: (814) 205-4025

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1659991594 NPPES
Pennsylvania MEDICAID 103371103

Popular Providers