# SPECIALTY MEDICAL CARE SERVICES, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SPECIALTY MEDICAL CARE SERVICES, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1134779473
- **Legal business name:** SPECIALTY MEDICAL CARE SERVICES, LLC
- **Authorized official:** MELISSA A CALLAHAN CRNP (PRESIDENT)
- **Authorized official phone:** (866) 268-6609

## Contact information

- **Practice address:** 333 S 7TH ST, AKRON, PA 17501-1464
- **Practice address phone:** (866) 268-6609
- **Practice address fax:** (866) 610-4542
- **Mailing address:** 320 EXTON CMNS, EXTON, PA 19341-2450
- **Mailing address phone:** (866) 268-6609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WA0400X | Addiction (Substance Use Disorder) Registered Nurse | — | NULL | — |
| 163WA0400X | Addiction (Substance Use Disorder) Registered Nurse | — | — | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | NULL | — |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician | — | — | — |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RA0401X | Addiction Medicine (Internal Medicine) Physician | — | — | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 09/18/2019
- **Last updated:** 08/07/2022