Provider Demographics
NPI:1508918855
Name:WASHINGTON COMMUNITIES MHMR CENTER, INC
Entity Type:Organization
Organization Name:WASHINGTON COMMUNITIES MHMR CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FISCAL SUPERVISOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:C
Authorized Official - Last Name:PATTISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-225-6940
Mailing Address - Street 1:378 W CHESTNUT ST
Mailing Address - Street 2:SUITE 205
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-4659
Mailing Address - Country:US
Mailing Address - Phone:724-225-6940
Mailing Address - Fax:724-225-6811
Practice Address - Street 1:378 W CHESTNUT ST
Practice Address - Street 2:SUITE 205
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-4659
Practice Address - Country:US
Practice Address - Phone:724-225-6940
Practice Address - Fax:724-225-6811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251B00000X251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1000041000014Medicaid