Provider Demographics
NPI:1487014007
Name:NEW STORY
Entity Type:Organization
Organization Name:NEW STORY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BHRS
Authorized Official - Prefix:MS
Authorized Official - First Name:PATTI
Authorized Official - Middle Name:
Authorized Official - Last Name:RICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-544-9273
Mailing Address - Street 1:751 KEYSTONE INDUSTRIAL PARK
Mailing Address - Street 2:
Mailing Address - City:DUNMORE
Mailing Address - State:PA
Mailing Address - Zip Code:18512-1511
Mailing Address - Country:US
Mailing Address - Phone:570-285-7709
Mailing Address - Fax:
Practice Address - Street 1:751 KEYSTONE INDUSTRIAL PARK
Practice Address - Street 2:
Practice Address - City:DUNMORE
Practice Address - State:PA
Practice Address - Zip Code:18512-1511
Practice Address - Country:US
Practice Address - Phone:570-285-7709
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-24
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PABH001772302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization