Provider Demographics
NPI:1275682700
Name:DAUPHIN COUNTY
Entity Type:Organization
Organization Name:DAUPHIN COUNTY
Other - Org Name:DAUPHIN COUNTY MHMR CRISIS INTERVENTION SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:FISCAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:J
Authorized Official - Last Name:GEFFERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-780-7055
Mailing Address - Street 1:100 CHESTNUT ST
Mailing Address - Street 2:FIRST FLOOR
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17101-2518
Mailing Address - Country:US
Mailing Address - Phone:717-780-7050
Mailing Address - Fax:717-255-2960
Practice Address - Street 1:100 CHESTNUT ST
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17101-2518
Practice Address - Country:US
Practice Address - Phone:717-780-7050
Practice Address - Fax:717-255-2960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007649020014Medicaid