Gaudenzia Elsie Shenk Outpatient

LBN: Gaudenzia Inc
Gaudenzia Elsie Shenk Outpatient is an health care organization with primary practice located at 211 East Mifflin Street , Lancaster PA 17602. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Clinic/Center. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Gaudenzia Inc can be contacted via phone (717) 286-9088, or through Moyle, Michael J via phone (610) 239-9600.

Contact Information

Primary practice address
211 East Mifflin Street Lancaster PA 17602
Fax: (717) 286-9091
Website:
Authorized official contact:
Name: Moyle, Michael J J.D.

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 367081 Pennsylvania
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 367081 Pennsylvania

Profile Details

NPI number 1447478193
LBN Legal business name Gaudenzia Inc
DBA Doing business as Gaudenzia Elsie Shenk Outpatient
Authorized official Moyle, Michael J J.D.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2007
Last updated Jan 14th, 2008 - 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 1447478193 NPPES
Pennsylvania MEDICAID 1002285890060

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