Susquehanna Valley Professional Associates, Inc
LBN: Susquehanna Valley Professional Associates, Inc
Susquehanna Valley Professional Associates, Inc is an health care organization with primary practice located at 320 Rolling Ridge Dr Suite 100, State College PA 16801-7641. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is the primary health care specialty.
Susquehanna Valley Professional Associates, Inc can be contacted via phone (814) 867-0670, or through Derstine, Timothy Hans via phone (814) 867-9755.
Contact Information
Primary practice address
320 Rolling Ridge Dr Suite 100
State College PA 16801-7641
Phone: (814) 867-0670
Fax: (814) 867-7616
Website:
Authorized official contact:
Name: Derstine, Timothy Hans Doctor of Medicine (MD)
Phone: (814) 867-9755
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | ||
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X |
Profile Details
| NPI number | 1578543054 |
|---|---|
| LBN Legal business name | Susquehanna Valley Professional Associates, Inc |
| DBA Doing business as | |
| Authorized official | Derstine, Timothy Hans Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Apr 15th, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578543054 | NPPES |
| Pennsylvania | Other | 02892000 | CAPITAL BLUE CROSS |
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