Organization
ADELPHOI VILLAGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE LEIGH HERSHBERGER (REVENUE CYCLE MANAGER)
(724) 804-7193
Entity
Organization
Contact information
Practice address
1119 VILLAGE WAY, LATROBE, PA 15650-5201
(724) 520-1111
(724) 520-1878
Mailing address
1119 VILLAGE WAY, LATROBE, PA 15650-5201
(724) 520-1111
(724) 520-1878
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
423910
PA
251S00000X
Community/Behavioral Health Agency
Primary
423910
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007447300017
—
PA
01
—
A154172
VBH VENDOR ID - BEAVER
PA
01
—
A747621
VBH VENDOR ID - GREENE
PA
01
—
A747622
VBH VENDOR ID - INDIANA
PA
01
—
A882141
VBH VENDOR ID - CAMBRIA
PA
01
—
A953496
VBH VENDOR ID - FAYETTE
PA
01
—
A979981
VBH VENDOR ID - MERCER
PA
01
—
MST-5000744730
CBHNP VENDOR ID - BLAIR/CUMBERLAND/PERRY
PA
Enumeration date
05/16/2008
Last updated
08/24/2020
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