CLEM-MAR HOUSE, INC. – NPI #1417170549
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

CLEM-MAR HOUSE, INC. is a substance abuse rehabilitation facility located in DALLAS, PA. NPPES has assigned the NPI number 1417170549 to CLEM-MAR HOUSE, INC. on April 10, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 8 years ago on Aug 15, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CLEM-MAR HOUSE, INC. below.

NPI Profile for
CLEM-MAR HOUSE, INC.

NPI Number
1417170549
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CLEM-MAR HOUSE, INC.
Primary location
2860 STATE ROUTE 309
DALLAS, PA 18612
Phone: (570) 674-1575 Fax: (570) 674-1588
Mailing address
P.O. BOX 2028
KINGSTON, PA 18704-7038
Phone: (570) 674-1575 Fax: (570) 674-1588
Organization Subpart
No
Authorized Official
MAUREEN REIMILLER
PROJECT DIRECTOR
Phone: (570) 288-0403
Updated
Identifiers

Identifiers for CLEM-MAR HOUSE, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDPA0016199680003
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
PA 407053

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.