Edgewater Psychiatric Center

LBN: Edgewater Psychiatric Center
Edgewater Psychiatric Center is an health care organization with primary practice located at 1100 S Cameron St , Harrisburg PA 17104-2547. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Edgewater Psychiatric Center can be contacted via phone (717) 441-3700, or through Zabolotny, Matthew via phone (717) 441-3700.

Contact Information

Primary practice address
1100 S Cameron St Harrisburg PA 17104-2547
Fax:
Website:
Authorized official contact:
Name: Zabolotny, Matthew

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1356565576
LBN Legal business name Edgewater Psychiatric Center
DBA Doing business as
Authorized official Zabolotny, Matthew
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2007
Last updated Oct 18th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356565576 NPPES
Pennsylvania MEDICAID 1007457920032

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