Provider Demographics
NPI:1821162314
Name:BUTLER MEMORIAL HOSPITAL
Entity Type:Organization
Organization Name:BUTLER MEMORIAL HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, NETWORK BUSINESS SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:L
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-284-4467
Mailing Address - Street 1:911 E BRADY ST
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-4646
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:911 E BRADY ST
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-4646
Practice Address - Country:US
Practice Address - Phone:724-284-4467
Practice Address - Fax:724-284-4095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007731600017OtherMA INPT DRUG ALCHOL
PA1007731600033Medicaid
PAA345901OtherVALUE E.BRADY ST
PA1007731600036Medicaid
PA1021719OtherGATEWAY OP DA
PAA345904OtherVALUE ALLEGH VALLEY
PA100773160004OtherMA OP CRANBERRY
PA1007731600034Medicaid
PA1021720OtherGATEWAY CRANBERRY
PA1021721OtherGATEWAY ALLEGH VALLY
PA28 1404427OtherCOMMUNITY CARE OP DA
PA1007731600002OtherMA OP 5T
PA1007731600008Medicaid
PA1007731600016OtherMA OP ALLEGH VALLEY
PA12 0947169OtherCOMMUNITY CARE INPT DA
PA807OtherBLUE CROSS D&A
PA1007731600004OtherMA OP WASHINGTON ST
PA1007731600036Medicaid