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Pennsylvania Care, LLC — NPI 1467759399, Ashley, PA | NPI Central

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NPI 1467759399

OrganizationActive

Pennsylvania Care, LLC

NPI 1467759399 · Methadone Clinic · Ashley, PA

Provider details

NPI number: 1467759399
Entity type: Organization
Primary specialty: Methadone ClinicAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Robyn Tanis, Executive Director of Contract Mgmt(856) 533-8762

Specialties & taxonomies

Methadone ClinicPrimary261QM2800XLicense 407058 (PA)
Ambulatory Health Care Facilities
Substance Use Disorder Rehabilitation Clinic/Center261QR0405X
Ambulatory Health Care Facilities

Practice location

43 S Main St

Ashley, PA 18706-1506

Phone: (570) 822-5145

Fax: (570) 822-5147

Approximate (ZIP-level) locationGet directions

More PA providers

Mailing address

1317 Route 73 Ste 200

Mount Laurel, NJ 08054-2202

Other names (DBA / former)

Doing business as: Miners Medical
Doing business as: Miners Medical

Additional practice locations (1)

90 E Union St Ste 3
Wilkes Barre, PA 18701-3210
Phone: (570) 822-5145

Registry dates

Enumerated: 2011-02-11
Last updated: 2022-07-18
Certified: 2022-07-18

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.