Provider Demographics
NPI:1609270263
Name:ARS OF PENNSYLVANIA LLC
Entity Type:Organization
Organization Name:ARS OF PENNSYLVANIA LLC
Other - Org Name:ARS CAMP HILL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:GENEVIEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-731-2500
Mailing Address - Street 1:150 ONIX DR
Mailing Address - Street 2:
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348-1886
Mailing Address - Country:US
Mailing Address - Phone:484-731-2500
Mailing Address - Fax:
Practice Address - Street 1:3433 TRINDLE RD
Practice Address - Street 2:
Practice Address - City:CAMP HILL
Practice Address - State:PA
Practice Address - Zip Code:17011-4434
Practice Address - Country:US
Practice Address - Phone:484-731-2500
Practice Address - Fax:717-761-4554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-10
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1029983750001Medicaid