Provider Demographics
NPI:1235497033
Name:VISITING NURSES ASSOC OF BUTLER CO
Entity Type:Organization
Organization Name:VISITING NURSES ASSOC OF BUTLER CO
Other - Org Name:VNA OF WESTERN PA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CIO
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:724-431-3228
Mailing Address - Street 1:154 HINDMAN RD
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-2417
Mailing Address - Country:US
Mailing Address - Phone:724-282-6806
Mailing Address - Fax:724-282-7517
Practice Address - Street 1:154 HINDMAN RD
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-2417
Practice Address - Country:US
Practice Address - Phone:724-282-6806
Practice Address - Fax:724-282-7517
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VISITING NURSES ASSOC OF BUTLER CO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-04-30
Last Update Date:2012-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA709405261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0709588Medicaid
PA0709588Medicaid