Organization · Type 2 NPI

Pennsylvania Department of Human Services

Psychiatric Hospital · Clarks Summit, PA

NPI number 1447233424 Active

Practice location

1451 Hillside Dr
Clarks Summit, PA 18411-9504

Fax (570) 587-7415

Specialties and licenses

Taxonomy	Code	License
Psychiatric Hospital Primary	283Q00000X	None listed
Institutional Pharmacy	3336I0012X	None listed
Long Term Care Pharmacy	3336L0003X	None listed

Psychiatric Hospital: An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

18 other providers at this address

NPI record

NPI: 1447233424
Entity type: Organization (Type 2)
Issued: Nov 23, 2005
Last updated: Oct 4, 2021
Status: Active

Other names

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Clarks Summit State Hospital · doing business as
Clarks Summit State Hospital · doing business as

Authorized official

Kathy Light
Administrator
(717) 772-2518

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1447233424

Pennsylvania Department of Human Services's National Provider Identifier is 1447233424, issued on Nov 23, 2005. The primary taxonomy on file is Psychiatric Hospital (283Q00000X), and the practice location is in Clarks Summit, PA. The record was last updated on Oct 4, 2021.