Organization
PYRAMID HEALTHCARE INC.
Active
Organization
PYRAMID HEALTHCARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON E HENDRICKS (CEO)
(814) 940-0407
Entity
Organization
Contact information
Practice address
420 SUPREME CT, EAST STROUDSBURG, PA 18302-6800
(814) 940-0407
Mailing address
1894 PLANK RD, PO BOX 967, DUNCANSVILLE, PA 16635-8380
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
457040
PA
324500000X
Substance Abuse Rehabilitation Facility
Primary
457040
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007625050079
—
PA
01
—
457040
LICENSE NUMBER
PA
Enumeration date
08/02/2013
Last updated
04/10/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up