Wagner Behavioral Health Services, Llc

LBN: Wagner Behavioral Health Services, Llc
Wagner Behavioral Health Services, Llc is an health care organization with primary practice located at 1001 State St Ste 102 , Erie PA 16501-1835. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Wagner Behavioral Health Services, Llc can be contacted via phone (814) 580-1743, or through Kearney, Paul via phone (814) 580-1743.

Contact Information

Primary practice address
1001 State St Ste 102 Erie PA 16501-1835
Phone: (814) 580-1743
Fax: (814) 240-6347
Website:
Map and Directions
Authorized official contact:
Name: Kearney, Paul
Phone: (814) 580-1743

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X CW015648 Pennsylvania

Profile Details

NPI number 1548567175
LBN Legal business name Wagner Behavioral Health Services, Llc
DBA Doing business as
Authorized official Kearney, Paul
Entity Organization
Organization subpart 1 No
Enumeration date Feb 17th, 2011
Last updated Jul 26th, 2019 - about 7 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 1548567175 NPPES
Pennsylvania MEDICAID 102243824

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