Saint Vincent Serenity Program

LBN: Saint Vincent Serenity Program
Saint Vincent Serenity Program is an health care organization with primary practice located at 1910 Sassafras St Suite 100, Erie PA 16502-2716. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Saint Vincent Serenity Program can be contacted via phone (814) 452-5555, or through Whalen, Scott A via phone (814) 452-5111.

Contact Information

Primary practice address
1910 Sassafras St Suite 100 Erie PA 16502-2716
Phone: (814) 452-5555
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Whalen, Scott A PHD, FACHE
Phone: (814) 452-5111

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 252013 Pennsylvania

Profile Details

NPI number 1184797961
LBN Legal business name Saint Vincent Serenity Program
DBA Doing business as
Authorized official Whalen, Scott A PHD, FACHE
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 17th, 2006
Last updated Jun 8th, 2011 - about 15 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 1184797961 NPPES
Pennsylvania Other 0801 HIGHMARK FACILITY NUMBER
Pennsylvania MEDICAID 100162500039 HIGHMARK FACILITY NUMBER

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