Provider Demographics
NPI:1962669457
Name:VENANGO COUNTY HUMAN SERVICES
Entity Type:Organization
Organization Name:VENANGO COUNTY HUMAN SERVICES
Other - Org Name:VENANGO COUNTY MENTAL HEALTH & DEVELOPMENTAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HUMAN SERVICES ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PLUMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-432-9163
Mailing Address - Street 1:1 DALE AVE
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:PA
Mailing Address - Zip Code:16323-2301
Mailing Address - Country:US
Mailing Address - Phone:814-432-9753
Mailing Address - Fax:814-432-9781
Practice Address - Street 1:1 DALE AVE
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:PA
Practice Address - Zip Code:16323-2301
Practice Address - Country:US
Practice Address - Phone:814-432-9100
Practice Address - Fax:814-432-9128
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-21
Last Update Date:2020-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAX21524Medicare UPIN