Provider Demographics
NPI:1023412269
Name:OFFICE OF HUMAN SERVICES, INC.
Entity type:Organization
Organization Name:OFFICE OF HUMAN SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FISCAL OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:BRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-776-2191
Mailing Address - Street 1:118 CENTER ST
Mailing Address - Street 2:
Mailing Address - City:RIDGWAY
Mailing Address - State:PA
Mailing Address - Zip Code:15853-1702
Mailing Address - Country:US
Mailing Address - Phone:814-776-2191
Mailing Address - Fax:814-776-2193
Practice Address - Street 1:118 CENTER ST
Practice Address - Street 2:
Practice Address - City:RIDGWAY
Practice Address - State:PA
Practice Address - Zip Code:15853-1702
Practice Address - Country:US
Practice Address - Phone:814-776-2191
Practice Address - Fax:814-776-2193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-17
Last Update Date:2014-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1011263400001OtherMEDICAL ASSISTANCE (MA)