Organization
90 CAFFERTY ROAD OPERATING COMPANY, LP
Active
Other names
Pediatric Specialty Care at Point Pleasant
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY KENWORTHY (SR. DIRECTOR REVENUE CYCLE MGMT)
(716) 361-6636
Entity
Organization
Contact information
Practice address
90 CAFFERTY ROAD, POINT PLEASANT, PA 18950-0217
(215) 297-5555
Mailing address
500 SENECA ST STE 100, BUFFALO, NY 14204-1963
(716) 361-6636
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
135770
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135770
PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE
PA
01
—
135830
PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE
PA
01
—
136680
PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE
PA
Enumeration date
02/07/2011
Last updated
09/23/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us