Gaudenzia Fountain Springs

LBN: Gaudenzia Inc
Gaudenzia Fountain Springs is an health care organization with primary practice located at 95 Broad St , Ashland PA 17921-2101. 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 (570) 875-4700, or through Moyle, Michael J via phone (610) 239-9600.

Contact Information

Primary practice address
95 Broad St Ashland PA 17921-2101
Phone: (570) 875-4700
Fax: (570) 875-4260
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 547013 Pennsylvania

Profile Details

NPI number 1487779294
LBN Legal business name Gaudenzia Inc
DBA Doing business as Gaudenzia Fountain Springs
Authorized official Moyle, Michael J J.D.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 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 1487779294 NPPES
Pennsylvania MEDICAID 1002285890035
Pennsylvania MEDICAID 1002285890036

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