Provider Demographics
NPI:1811048168
Name:RIVERVIEW INTERMEDIATE UNIT 6
Entity type:Organization
Organization Name:RIVERVIEW INTERMEDIATE UNIT 6
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:STAHLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-297-5101
Mailing Address - Street 1:270 MAYFIELD ROAD
Mailing Address - Street 2:
Mailing Address - City:CLARION
Mailing Address - State:PA
Mailing Address - Zip Code:16214-9958
Mailing Address - Country:US
Mailing Address - Phone:814-226-7103
Mailing Address - Fax:814-226-2711
Practice Address - Street 1:270 MAYFIELD ROAD
Practice Address - Street 2:
Practice Address - City:CLARION
Practice Address - State:PA
Practice Address - Zip Code:16214-9958
Practice Address - Country:US
Practice Address - Phone:814-226-7103
Practice Address - Fax:814-226-2711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-15
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA103T00000X, 163W00000X, 225100000X, 251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251300000XAgenciesLocal Education Agency (LEA)
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0012155550001Medicaid