# COUNTY OF GREENE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679699482
- **Authorized official:** KAREN BENNETT (ADMINISTRATOR)
- **Authorized official phone:** (724) 852-5276

## Contact information

- **Practice address:** 19 S WASHINGTON ST, 3RD FLOOR FORT JACKSON BUILDING, WAYNESBURG, PA 15370-2053
- **Practice address phone:** (724) 852-5276
- **Practice address fax:** (724) 852-5368
- **Mailing address:** 19 S WASHINGTON ST, 3RD FLOOR FORT JACKSON BUILDING, WAYNESBURG, PA 15370-2053
- **Mailing address phone:** (724) 852-5276
- **Mailing address fax:** (724) 852-5368

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |
| 251B00000X | Case Management Agency | — | NULL | — |

## Other

- **Enumeration date:** 03/22/2007
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1007319930003 | — | PA |
| 05 | — | 1007319930004 | — | PA |
| 05 | — | 1007319930005 | — | PA |