Gaudenzia Concept 90

LBN: Gaudenzia Inc
Gaudenzia Concept 90 is an health care organization with primary practice located at 124 East Azalea Drive Anderson Hall, Harrisburg PA 17110. 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 Inc can be contacted via phone (717) 232-3232, or through Williams, Mike via phone (484) 338-3731.

Contact Information

Primary practice address
124 East Azalea Drive Anderson Hall Harrisburg PA 17110
Phone: (717) 232-3232
Fax: (717) 236-6833
Website:
Map and Directions
Authorized official contact:
Name: Williams, Mike
Phone: (484) 338-3731

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 221159 Pennsylvania

Profile Details

NPI number 1194840736
LBN Legal business name Gaudenzia Inc
DBA Doing business as Gaudenzia Concept 90
Authorized official Williams, Mike
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2007
Last updated May 5th, 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 1194840736 NPPES
Pennsylvania MEDICAID 1002285890037
Pennsylvania MEDICAID 1002285890038

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