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.
Organization
FAYETTE COUNTY MENTAL HEALTH MENTAL RETARDATION PROGRAM
Active
Organization
FAYETTE COUNTY MENTAL HEALTH MENTAL RETARDATION PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID RIDER M.A., M.DIV. (ADMINISTRATOR CEO)
(724) 430-1370
Entity
Organization
Contact information
Practice address
215 JACOB MURPHY LN, UNIONTOWN, PA 15401-2777
(724) 430-1370
(724) 430-1386
Mailing address
215 JACOB MURPHY LN, UNIONTOWN, PA 15401-2777
(724) 430-1370
(724) 430-1386
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NULL
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251B00000X
Case Management Agency
—
NULL
302R00000X
Health Maintenance Organization
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017040300001
—
PA
05
—
1007538290003
—
PA
05
—
1007538290004
—
PA
05
—
1007538290005
—
PA
Enumeration date
03/13/2007
Last updated
01/03/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers