Provider Demographics
NPI:1730306911
Name:PEOPLE IN NEED - LAWRENCE COUNTY
Entity Type:Organization
Organization Name:PEOPLE IN NEED - LAWRENCE COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:HODGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-657-3303
Mailing Address - Street 1:2703 W STATE ST
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16101-8671
Mailing Address - Country:US
Mailing Address - Phone:724-657-3303
Mailing Address - Fax:724-657-3326
Practice Address - Street 1:2703 W STATE ST
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16101-8671
Practice Address - Country:US
Practice Address - Phone:724-657-3303
Practice Address - Fax:724-657-3326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA4009302084P0800X, 2084P0804X, 2084P0805X, 2084P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric PsychiatryGroup - Single Specialty
No2084P2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA259666000OtherMAGELLAN BEHAVIORAL HEALT
PA612225900OtherUS DEPT OF LABOR
PA850486OtherBCBS
PA1007449820011Medicaid
PA830412OtherHIGHMARK MANAGED CARE
PA1892851OtherBCBS
PA0007758127OtherAETNA BEHAVIORAL HEALTH
PA317380OtherUPMC HEALTH PLAN
PA317380OtherUPMC HEALTH PLAN
PA1892851OtherBCBS