Gaudenzia Harrisburg Outpatient Services

LBN: Gaudenzia Inc
Gaudenzia Harrisburg Outpatient Services is an health care organization with primary practice located at 2039 N 2Nd St , Harrisburg PA 17102-2103. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Gaudenzia Inc can be contacted via phone (717) 233-3424, or through Williams, Mike via phone (484) 338-3731.

Contact Information

Primary practice address
2039 N 2Nd St Harrisburg PA 17102-2103
Phone: (717) 233-3424
Fax: (717) 233-6399
Website:
Map and Directions
Authorized official contact:
Name: Williams, Mike
Phone: (484) 338-3731

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 227035 Pennsylvania

Profile Details

NPI number 1467577619
LBN Legal business name Gaudenzia Inc
DBA Doing business as Gaudenzia Harrisburg Outpatient Services
Authorized official Williams, Mike
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2007
Last updated Dec 13th, 2021 - 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 1467577619 NPPES
Pennsylvania MEDICAID 1002285890013
Pennsylvania MEDICAID 1002285890012
Pennsylvania MEDICAID 1002285890015
Pennsylvania MEDICAID 1002285890057

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