Provider Demographics
NPI:1821021585
Name:UHS OF PENNSYLVANIA, INC
Entity Type:Organization
Organization Name:UHS OF PENNSYLVANIA, INC
Other - Org Name:ROXBURY TREATMENT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO/SR VP
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:FILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-768-3300
Mailing Address - Street 1:25 PENNCRAFT AVE STE 312
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-1649
Mailing Address - Country:US
Mailing Address - Phone:717-264-2400
Mailing Address - Fax:
Practice Address - Street 1:25 PENNCRAFT AVE STE 312
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-1649
Practice Address - Country:US
Practice Address - Phone:717-264-2400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2008-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA287049261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA39A451OtherBLUE CROSS
PA1007285950019Medicaid