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  7. NPI Record 1821162314

BUTLER MEMORIAL HOSPITAL
Complete NPI Record 1821162314
Rehabilitation, Substance Use Disorder Unit in Butler, PA

NPI Status: Active since November 17, 2006

Contact Information

911 E BRADY ST
BUTLER, PA
ZIP 16001
Phone: (724) 284-4467
Fax: (724) 284-4095

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Employer Identification Number EIN
  4. Provider Organization Name Legal Business Name
  5. Provider First Line Business Mailing Address
  6. Provider Business Mailing Address City Name
  7. Provider Business Mailing Address State Name
  8. Provider Business Mailing Address Postal Code
  9. Provider Business Mailing Address Country Code If outside U S
  10. Provider First Line Business Practice Location Address
  11. Provider Business Practice Location Address City Name
  12. Provider Business Practice Location Address State Name
  13. Provider Business Practice Location Address Postal Code
  14. Provider Business Practice Location Address Country Code If outside U S
  15. Provider Business Practice Location Address Telephone Number
  16. Provider Business Practice Location Address Fax Number
  17. Provider Enumeration Date
  18. Last Update Date
  19. Authorized Official Last Name
  20. Authorized Official First Name
  21. Authorized Official Middle Name
  22. Authorized Official Title or Position
  23. Authorized Official Telephone Number
  24. Healthcare Provider Taxonomy Code 1
  25. Healthcare Provider Primary Taxonomy Switch 1
  26. Other Provider Identifier 1
  27. Other Provider Identifier Type Code 1
  28. Other Provider Identifier State 1
  29. Other Provider Identifier Issuer 1
  30. Other Provider Identifier 2
  31. Other Provider Identifier Type Code 2
  32. Other Provider Identifier State 2
  33. Other Provider Identifier Issuer 2
  34. Other Provider Identifier 3
  35. Other Provider Identifier Type Code 3
  36. Other Provider Identifier State 3
  37. Other Provider Identifier Issuer 3
  38. Other Provider Identifier 4
  39. Other Provider Identifier Type Code 4
  40. Other Provider Identifier State 4
  41. Other Provider Identifier Issuer 4
  42. Other Provider Identifier 5
  43. Other Provider Identifier Type Code 5
  44. Other Provider Identifier State 5
  45. Other Provider Identifier Issuer 5
  46. Other Provider Identifier 6
  47. Other Provider Identifier Type Code 6
  48. Other Provider Identifier State 6
  49. Other Provider Identifier Issuer 6
  50. Other Provider Identifier 7
  51. Other Provider Identifier Type Code 7
  52. Other Provider Identifier State 7
  53. Other Provider Identifier Issuer 7
  54. Other Provider Identifier 8
  55. Other Provider Identifier Type Code 8
  56. Other Provider Identifier State 8
  57. Other Provider Identifier 9
  58. Other Provider Identifier Type Code 9
  59. Other Provider Identifier State 9
  60. Other Provider Identifier Issuer 9
  61. Other Provider Identifier 10
  62. Other Provider Identifier Type Code 10
  63. Other Provider Identifier State 10
  64. Other Provider Identifier Issuer 10
  65. Other Provider Identifier 11
  66. Other Provider Identifier Type Code 11
  67. Other Provider Identifier State 11
  68. Other Provider Identifier Issuer 11
  69. Other Provider Identifier 12
  70. Other Provider Identifier Type Code 12
  71. Other Provider Identifier State 12
  72. Other Provider Identifier 13
  73. Other Provider Identifier Type Code 13
  74. Other Provider Identifier State 13
  75. Other Provider Identifier Issuer 13
  76. Other Provider Identifier 14
  77. Other Provider Identifier Type Code 14
  78. Other Provider Identifier State 14
  79. Other Provider Identifier Issuer 14
  80. Other Provider Identifier 15
  81. Other Provider Identifier Type Code 15
  82. Other Provider Identifier State 15
  83. Other Provider Identifier Issuer 15
  84. Other Provider Identifier 16
  85. Other Provider Identifier Type Code 16
  86. Other Provider Identifier State 16
  87. Other Provider Identifier 17
  88. Other Provider Identifier Type Code 17
  89. Other Provider Identifier State 17
  90. Other Provider Identifier Issuer 17
  91. Other Provider Identifier 18
  92. Other Provider Identifier Type Code 18
  93. Other Provider Identifier State 18
  94. Is Organization Subpart
  95. Authorized Official Name Prefix Text

Complete NPI Dataset

This page represents the complete record for NPI 1821162314. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1821162314
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 2
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Employer Identification Number EIN: UNAVAIL
The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
The name of the organization provider. If the provider is an organization, this is the legal business name.
Provider First Line Business Mailing Address: 911 E BRADY ST
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City Name: BUTLER
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: PA
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code: 160014646
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S : US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider First Line Business Practice Location Address: 911 E BRADY ST
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: BUTLER
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: PA
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 160014646
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 7242844467
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number: 7242844095
The fax number associated with the location address of the provider being identified.
Provider Enumeration Date: 11/17/2006
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 9/23/2015
The date that a record was last updated or changed.
Authorized Official Last Name: WEST
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name: DEBORAH
The first name of the authorized official.
Authorized Official Middle Name: L
The middle name of the authorized official.
Authorized Official Title or Position: DIRECTOR, NETWORK BUSINESS SERVICES
The title or position of the authorized official.
Authorized Official Telephone Number: 7242844467
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1: 276400000X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Healthcare Provider Primary Taxonomy Switch 1: Y
Other Provider Identifier 1: 12 0947169
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 1: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 1: PA
Other Provider Identifier Issuer 1: COMMUNITY CARE INPT DA
Other Provider Identifier 2: 28 1404427
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 2: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 2: PA
Other Provider Identifier Issuer 2: COMMUNITY CARE OP DA
Other Provider Identifier 3: 1007731600017
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 3: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 3: PA
Other Provider Identifier Issuer 3: MA INPT DRUG ALCHOL
Other Provider Identifier 4: 1007731600002
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 4: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 4: PA
Other Provider Identifier Issuer 4: MA OP 5T
Other Provider Identifier 5: 100773160004
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 5: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 5: PA
Other Provider Identifier Issuer 5: MA OP CRANBERRY
Other Provider Identifier 6: 1021721
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 6: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 6: PA
Other Provider Identifier Issuer 6: GATEWAY ALLEGH VALLY
Other Provider Identifier 7: 1007731600016
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 7: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 7: PA
Other Provider Identifier Issuer 7: MA OP ALLEGH VALLEY
Other Provider Identifier 8: 1007731600033
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 8: 05
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 8: PA
Other Provider Identifier 9: 1021719
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 9: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 9: PA
Other Provider Identifier Issuer 9: GATEWAY OP DA
Other Provider Identifier 10: A345904
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 10: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 10: PA
Other Provider Identifier Issuer 10: VALUE ALLEGH VALLEY
Other Provider Identifier 11: A345901
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 11: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 11: PA
Other Provider Identifier Issuer 11: VALUE E.BRADY ST
Other Provider Identifier 12: 1007731600008
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 12: 05
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 12: PA
Other Provider Identifier 13: 807
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 13: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 13: PA
Other Provider Identifier Issuer 13: BLUE CROSS D&A
Other Provider Identifier 14: 1007731600004
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 14: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 14: PA
Other Provider Identifier Issuer 14: MA OP WASHINGTON ST
Other Provider Identifier 15: =========
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 15: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 15: PA
Other Provider Identifier Issuer 15: UNITED HEALTH BEHAVIOR
Other Provider Identifier 16: 1007731600034
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 16: 05
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 16: PA
Other Provider Identifier 17: 1021720
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 17: 01
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 17: PA
Other Provider Identifier Issuer 17: GATEWAY CRANBERRY
Other Provider Identifier 18: 1007731600036
Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
Other Provider Identifier Type Code 18: 05
Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
Other Provider Identifier State 18: PA
Is Organization Subpart: N
Authorized Official Name Prefix Text: MRS.