| Upmc Jameson Partial Program | |
|
253 E Washington St Ste 200 New Castle PA 16101-3618 | |
| (724) 656-4100 | |
| (724) 656-4171 |
| Full Name | Upmc Jameson Partial Program |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 253 E Washington St Ste 200, New Castle, Pennsylvania |
| Authorized Official Name and Position | Michael Tracy (CFO) |
| Authorized Official Contact | 7246564107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Upmc Jameson Partial Program Po Box 382007 Pittsburgh PA 15251-8007 Ph: (724) 656-4008 | Upmc Jameson Partial Program 253 E Washington St Ste 200 New Castle PA 16101-3618 Ph: (724) 656-4100 |
| NPI Number | 1336277953 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 06/28/2022 |
| Certification Date | 06/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336277953 | NPI | - | NPPES |
| 1000021890028 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 941450 (Pennsylvania) | Primary |
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