Glade Run Lutheran Services

LBN: Glade Run Lutheran Services
Glade Run Lutheran Services is an health care organization with primary practice located at Beaver Road , Zelienople PA 16063-0070. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. Glade Run Lutheran Services can be contacted via phone (724) 452-4453, or through Lockwood, Charles T. via phone (724) 452-4453.

Contact Information

Primary practice address
Beaver Road Zelienople PA 16063-0070
Phone: (724) 452-4453
Fax: (724) 452-6576
Website:
Map and Directions
Authorized official contact:
Name: Lockwood, Charles T.
Phone: (724) 452-4453

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X 414650 Pennsylvania

Profile Details

NPI number 1225193030
LBN Legal business name Glade Run Lutheran Services
DBA Doing business as
Authorized official Lockwood, Charles T.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 22nd, 2006
Last updated Aug 22nd, 2020 - about 6 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 1225193030 NPPES
Pennsylvania MEDICAID 100754254-0019

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