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CLEM-MAR HOUSE, INC.
NPI 1790908812
Substance Abuse Rehabilitation Facility in Edwardsville, PA

Active since April 10, 2007
540 MAIN ST, EDWARDSVILLE, PA 18704(570) 288-0403 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clem-mar House, Inc. NPPES

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

CLEM-MAR HOUSE, INC. (NPI 1790908812) is a healthcare organization registered as a substance abuse rehabilitation facility in Edwardsville, Pennsylvania and active in the NPI registry since April 2007. The organization lists Sonya Mowry, Assistant Project Director, as its authorized official.

NPPES Registry Identity

NPI1790908812
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameCLEM-MAR HOUSE, INC.
Location Address540 MAIN STEdwardsville, PA 18704-2504
Mailing AddressPo Box 2028Kingston, PA 18704-7038 · (570) 288-0403
Phone(570) 288-0403
Organization SubpartNo
Authorized OfficialSonya MowryAssistant Project Director · (570) 288-0403
Enumeration DateApril 10, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1790908812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in PA · 407043
Definition
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.
540 MAIN ST, Edwardsville, PA 18704
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Other Identifiers 1

Medicaid0016199680001PA

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 Clem-Mar House, Inc.'s NPI number?

The NPI number for Clem-Mar House, Inc. is 1790908812. It was assigned to this organization in the NPPES registry on April 10, 2007.

Where is Clem-Mar House, Inc. located?

Clem-Mar House, Inc. is located at 540 Main St, Edwardsville, PA 18704. The listed phone number is (570) 288-0403.

What is Clem-Mar House, Inc.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Clem-Mar House, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.