Provider Demographics
NPI:1871506667
Name:UNIVERSAL COMMUNITY BEHAVIORAL HEALTH INC
Entity Type:Organization
Organization Name:UNIVERSAL COMMUNITY BEHAVIORAL HEALTH INC
Other - Org Name:JUNIATA CO OUTPATIENT CLINIC
Other - Org Type:Other Name
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 1:132 THE MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:CENTRE HALL
Mailing Address - State:PA
Mailing Address - Zip Code:16828-9231
Mailing Address - Country:US
Mailing Address - Phone:814-364-2161
Mailing Address - Fax:
Practice Address - Street 1:14 INDUSTRIAL CIR
Practice Address - Street 2:JUNIATA INDUSTRIAL PARK
Practice Address - City:MIFFLINTOWN
Practice Address - State:PA
Practice Address - Zip Code:17059-9544
Practice Address - Country:US
Practice Address - Phone:814-364-2161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-14
Last Update Date:2008-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA305190261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1000036220067Medicaid
PA1000036220067Medicaid