Provider Demographics
NPI:1528125986
Name:RANKIN CHRISTIAN CENTER
Entity type:Organization
Organization Name:RANKIN CHRISTIAN CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:SANDUSKY
Authorized Official - Suffix:
Authorized Official - Credentials:REVEREND
Authorized Official - Phone:412-271-8313
Mailing Address - Street 1:230 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:RANKIN
Mailing Address - State:PA
Mailing Address - Zip Code:15104-1147
Mailing Address - Country:US
Mailing Address - Phone:412-271-8313
Mailing Address - Fax:412-271-6723
Practice Address - Street 1:230 3RD AVE
Practice Address - Street 2:
Practice Address - City:RANKIN
Practice Address - State:PA
Practice Address - Zip Code:15104-1147
Practice Address - Country:US
Practice Address - Phone:412-271-8313
Practice Address - Fax:412-271-6723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1000028680134Medicaid