Provider Demographics
NPI:1578768818
Name:THE ARC OF CLARION COUNTY
Entity Type:Organization
Organization Name:THE ARC OF CLARION COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-226-7033
Mailing Address - Street 1:319 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CLARION
Mailing Address - State:PA
Mailing Address - Zip Code:16214-1018
Mailing Address - Country:US
Mailing Address - Phone:814-226-7033
Mailing Address - Fax:814-226-0648
Practice Address - Street 1:319 W MAIN ST
Practice Address - Street 2:
Practice Address - City:CLARION
Practice Address - State:PA
Practice Address - Zip Code:16214-1018
Practice Address - Country:US
Practice Address - Phone:814-226-7033
Practice Address - Fax:814-226-0648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-18
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based