Organization · Type 2 NPI

Pennsylvania Care, LLC

Methadone Clinic · Ashley, PA

NPI number 1467759399 Active

Practice location

43 S Main St
Ashley, PA 18706-1506

Call (570) 822-5145 Map

Fax (570) 822-5147

Mailing address

1317 Route 73 Ste 200
Mount Laurel, NJ 08054-2202

Other practice locations

90 E Union St Ste 3, Wilkes Barre, PA 18701-3210 · (570) 822-5145

Specialties and licenses

Taxonomy	Code	License
Methadone Clinic Primary	261QM2800X	407058 (PA)
Substance Use Disorder Rehabilitation Clinic/Center	261QR0405X	None listed

Methadone Clinic: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

Another provider at this address

Carolann Littzi, DOAddiction Medicine (Family Medicine) Physician Ashley, PA NPI 1548558885

NPI record

NPI: 1467759399
Entity type: Organization (Type 2)
Issued: Feb 11, 2011
Last updated: Jul 18, 2022
Status: Active

Other names

<unavail>
Miners Medical · doing business as
Miners Medical · doing business as

Authorized official

Robyn Tanis
Executive Director of Contract MGMT
(856) 533-8762

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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 1467759399

Pennsylvania Care, LLC's National Provider Identifier is 1467759399, issued on Feb 11, 2011. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in Ashley, PA. The record was last updated on Jul 18, 2022.