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MINERS MEDICAL
NPI 1467759399
Clinic/Center - Methadone in Ashley, PA

Active since February 11, 2011CLIA 39D2125330 · Waiver
43 S MAIN ST, ASHLEY, PA 18706(570) 822-5145(570) 822-5147 Get Directions Write a Review

NPPES record last updated: July 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 18, 2022, Dec 23, 2019, Dec 6, 2019 (3 updates tracked since 2019).

About Miners Medical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINERS MEDICAL (NPI 1467759399) is a healthcare organization registered as a methadone in Ashley, Pennsylvania and active in the NPI registry since February 2011. The organization holds a CLIA Waiver certificate valid through February 5, 2027, maintains a secondary practice location in Wilkes Barre, and lists Robyn Tanis, Executive Director Of Contract Mgmt, as its authorized official.

NPPES Registry Identity

NPI1467759399
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NamePENNSYLVANIA CARE, LLC
Location Address43 S MAIN STAshley, PA 18706-1506
Mailing Address1317 Route 73 Ste 200Mount Laurel, NJ 08054-2202 · (856) 429-6111 · Fax (570) 822-5147
Phone(570) 822-5145
Fax(570) 822-5147
Organization SubpartNo
Authorized OfficialRobyn TanisExecutive Director Of Contract Mgmt · (856) 533-8762
Enumeration DateFebruary 11, 2011
Last NPPES UpdateJuly 18, 20223 updates tracked since enumeration
NPPES CertifiedJuly 18, 2022
✔ NPI 1467759399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
License✔ Licensed in PA · 407058
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
43 S MAIN ST, Ashley, PA 18706
Open in Google Maps ↗

Other Names 1

Doing Business AsMiners Medical

Secondary Practice Location 1

Location 190 E Union St Ste 3Wilkes Barre, PA 18701-3210 · Phone (570) 822-5145

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2125330

Miners Medical · Wilkes Barre, PA
Active · expires Feb 5, 2027
CLIA Number39D2125330
Laboratory TypeAlcohol And Drug Treatmen
Certificate Effective DateFebruary 6, 2025
Certificate Expiration DateFebruary 5, 2027
Laboratory DirectorDr. Daniel T. Brown
Laboratory Phone(570) 822-5145
Laboratory LocationMiners Medical90 East Union Street, Suite 3, Wilkes Barre, PA 18701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm G2067
Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.
909 services29 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CAROLANN LITTZI DO
Family Medicine (Addiction Medicine)
43 S MAIN ST, SUITE 2
ASHLEY, PA 18706
Luzerne County (570) 822-5145

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pennsylvania Care, LLC's NPI number?

The NPI number for Pennsylvania Care, LLC is 1467759399. It was assigned to this organization in the NPPES registry on February 11, 2011. The provider is doing business as Miners Medical.

Where is Pennsylvania Care, LLC located?

Pennsylvania Care, LLC is located at 43 S Main St, Ashley, PA 18706. The listed phone number is (570) 822-5145.

What is Pennsylvania Care, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Does Pennsylvania Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2125330) is associated with this NPI, valid through February 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pennsylvania Care, LLC was last updated on July 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.