Gaudenzia Chambers Hill Adolescent Program

LBN: Gaudenzia
Gaudenzia Chambers Hill Adolescent Program is an health care organization with primary practice located at 3740 Chambers Hill Rd , Harrisburg PA 17111-1510. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Gaudenzia can be contacted via phone (717) 561-0400, or through Moyle, Michael J via phone (610) 239-9600.

Contact Information

Primary practice address
3740 Chambers Hill Rd Harrisburg PA 17111-1510
Phone: (717) 561-0400
Fax: (717) 561-0896
Website:
Map and Directions
Authorized official contact:
Name: Moyle, Michael J J.D.
Phone: (610) 239-9600

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 227057 Pennsylvania

Profile Details

NPI number 1639293418
LBN Legal business name Gaudenzia
DBA Doing business as Gaudenzia Chambers Hill Adolescent Program
Authorized official Moyle, Michael J J.D.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1639293418 NPPES
Pennsylvania MEDICAID 1002285890043
Pennsylvania MEDICAID 1002285890044

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