Provider Demographics
NPI:1295819704
Name:ROXBURY TREATMENT CENTER
Entity Type:Organization
Organization Name:ROXBURY TREATMENT CENTER
Other - Org Name:UHS OF PA., INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:PATIENT ACCOUNTS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MATHNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-532-4217
Mailing Address - Street 1:601 ROXBURY RD
Mailing Address - Street 2:
Mailing Address - City:SHIPPENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17257-9302
Mailing Address - Country:US
Mailing Address - Phone:717-532-4217
Mailing Address - Fax:717-532-4003
Practice Address - Street 1:601 ROXBURY RD
Practice Address - Street 2:
Practice Address - City:SHIPPENSBURG
Practice Address - State:PA
Practice Address - Zip Code:17257-9302
Practice Address - Country:US
Practice Address - Phone:717-532-4217
Practice Address - Fax:717-532-4003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-24
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD428906283Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283Q00000XHospitalsPsychiatric Hospital