Evergreen 2

LBN: Elwyn Of Pennsylvania And Delaware
Evergreen 2 is an health care organization with primary practice located at 111 Elwyn Rd , Media PA 19063-4622. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Elwyn Of Pennsylvania And Delaware can be contacted via phone (610) 891-7007, or through Busch, Donna K via phone (445) 206-3028.

Contact Information

Primary practice address
111 Elwyn Rd Media PA 19063-4622
Phone: (610) 891-7007
Fax: (610) 891-2666
Website:
Map and Directions
Authorized official contact:
Name: Busch, Donna K
Phone: (445) 206-3028

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1215548615
LBN Legal business name Elwyn Of Pennsylvania And Delaware
DBA Doing business as Evergreen 2
Authorized official Busch, Donna K
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2020
Last updated Mar 7th, 2022 - about 2 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 1215548615 NPPES
Pennsylvania MEDICAID 1000021240700

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