Clem-Mar House, Inc.

LBN: Clem-Mar House, Inc.
Clem-Mar House, Inc. is an health care organization with primary practice located at 540 Main St , Edwardsville PA 18704-2504. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Clem-Mar House, Inc. can be contacted via phone (570) 288-0403, or through Mowry, Sonya via phone (570) 288-0403.

Contact Information

Primary practice address
540 Main St Edwardsville PA 18704-2504
Phone: (570) 288-0403
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mowry, Sonya BS, MS, CCMS, CCDP
Phone: (570) 288-0403

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X 407043 Pennsylvania

Profile Details

NPI number 1790908812
LBN Legal business name Clem-Mar House, Inc.
DBA Doing business as
Authorized official Mowry, Sonya BS, MS, CCMS, CCDP
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1790908812 NPPES
Pennsylvania MEDICAID 0016199680001

Popular Providers