Provider Demographics
NPI:1679749949
Name:HELPING HAND CLINIC
Entity Type:Organization
Organization Name:HELPING HAND CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:O.T.R./L,P.T.
Authorized Official - Prefix:MS
Authorized Official - First Name:MARLENE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BASIAGO
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:570-645-4001
Mailing Address - Street 1:39 W LUDLOW ST
Mailing Address - Street 2:VERMILLION PROFESSIONAL BLDG
Mailing Address - City:SUMMIT HILL
Mailing Address - State:PA
Mailing Address - Zip Code:18250-1141
Mailing Address - Country:US
Mailing Address - Phone:570-645-4001
Mailing Address - Fax:570-645-4001
Practice Address - Street 1:39 W LUDLOW ST
Practice Address - Street 2:VERMILLION PROFESSIONAL BLDG
Practice Address - City:SUMMIT HILL
Practice Address - State:PA
Practice Address - Zip Code:18250-1141
Practice Address - Country:US
Practice Address - Phone:570-645-4001
Practice Address - Fax:570-645-4001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-06
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
03270600OtherCAPITAL BCBS
PA1641039OtherBCBS
PA1641039OtherBCBS
PABA630050Medicare UPIN