FAYETTE COUNTY MENTAL HEALTH MENTAL RETARDATION PROGRAM
NPI 1639202534
Case Manager/Care Coordinator in Uniontown, PA

NPI Status: Active since March 13, 2007

Contact Information

215 JACOB MURPHY LN
UNIONTOWN, PA
ZIP 15401
Phone: (724) 430-1370
Fax: (724) 430-1386

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  • Case Manager/Care Coordinator

About FAYETTE COUNTY MENTAL HEALTH MENTAL RETARDATION PROGRAM

This page provides the complete NPI Profile along with additional information for Fayette County Mental Health Mental Retardation Program, a provider established in Uniontown, Pennsylvania operating as a Case Manager/care Coordinator. The healthcare provider is registered in the NPI registry with number 1639202534 assigned on March 2007. The practitioner's primary taxonomy code is 171M00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Mr. David Rider M.a., M.div. (Administrator Ceo)

NPI
1639202534
Provider Name
FAYETTE COUNTY MENTAL HEALTH MENTAL RETARDATION PROGRAM
Entity Type
Organization
Location Address
215 JACOB MURPHY LN UNIONTOWN, PA 15401
Location Phone
(724) 430-1370
Location Fax
(724) 430-1386
Mailing Address
215 JACOB MURPHY LN UNIONTOWN, PA 15401
Mailing Phone
(724) 430-1370
Mailing Fax
(724) 430-1386
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-13-2007
Last Update Date
01-03-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Case Manager/Care Coordinator

Taxonomy Code
171M00000X
Type
Other Service Providers
Taxonomy Description
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251B00000XAgencies

Case Management

 
2302R00000XManaged Care Organizations

Health Maintenance Organization

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. DAVID RIDER M.A., M.DIV.

Authorized Official Title
ADMINISTRATOR CEO
Authorized Official Phone
(724) 430-1370

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1007538290005MEDICAID (05)PA 
0017040300001MEDICAID (05)PA 
1007538290004MEDICAID (05)PA 
1007538290003MEDICAID (05)PA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639202534
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
266940456
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 4 + 0 + 4 + 5 + 6 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1639202534 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639202534, enumerated in the NPI registry as an "organization" on March 13, 2007

The provider is located at 215 Jacob Murphy Ln Uniontown, Pa 15401 and the phone number is (724) 430-1370

This medical organization specializes in Case Manager/Care Coordinator with taxonomy code 171M00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 13, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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