Provider Demographics
NPI:1821154212
Name:NORTHAMPTON COUNTY DEPARTMENT OF HUMAN SERVICES
Entity Type:Organization
Organization Name:NORTHAMPTON COUNTY DEPARTMENT OF HUMAN SERVICES
Other - Org Name:NORTHAMPTON COUNTY AREA AGENCY ON AGING
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF HUMAN SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:ROSS
Authorized Official - Middle Name:P
Authorized Official - Last Name:MARCUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-559-3010
Mailing Address - Street 1:669 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18042-7411
Mailing Address - Country:US
Mailing Address - Phone:610-559-3010
Mailing Address - Fax:610-559-3210
Practice Address - Street 1:45 N 2ND ST
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18042-3699
Practice Address - Country:US
Practice Address - Phone:610-559-3245
Practice Address - Fax:610-559-3297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA100768320-0001OtherMPI NUMBER