| Clarvida | |
|
321 Main St Ste 3c&3g Johnstown PA 15901-1632 | |
| (814) 262-0768 | |
| (814) 262-0795 |
| Full Name | Clarvida |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 321 Main St Ste 3c&3g, Johnstown, Pennsylvania |
| Authorized Official Name and Position | Renee Mcquillen (ASSISTANT DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 8142416556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarvida 321 Main St Ste 3c&3g Johnstown PA 15901-1632 Ph: (814) 262-0768 | Clarvida 321 Main St Ste 3c&3g Johnstown PA 15901-1632 Ph: (814) 262-0768 |
| NPI Number | 1619949948 |
|---|---|
| Provider Enumeration Date | 02/02/2006 |
| Last Update Date | 09/26/2024 |
| Certification Date | 09/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619949948 | NPI | - | NPPES |
| 101273408 | Medicaid | PA | |
| VC0572 | Medicaid | PA | |
| 100749414 | Medicaid | PA | |
| 561494 | Other | PA | VALUE BEHAVIORAL HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 302310 (Pennsylvania) | Primary |
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