Provider Demographics
NPI:1164645800
Name:HUMAN SERVICES CENTER
Entity Type:Organization
Organization Name:HUMAN SERVICES CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:A
Authorized Official - Last Name:STOCKDALE
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:724-658-3578
Mailing Address - Street 1:130 W NORTH ST
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16101-3906
Mailing Address - Country:US
Mailing Address - Phone:724-658-3578
Mailing Address - Fax:724-656-1325
Practice Address - Street 1:111 E GRANT ST
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16101-3605
Practice Address - Country:US
Practice Address - Phone:724-658-3578
Practice Address - Fax:724-656-1325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007562680013Medicaid