Good Fellowship Club Of Chester County, Inc.

LBN: Good Fellowship Club Of Chester County, Inc.
Good Fellowship Club Of Chester County, Inc. is an health care organization with primary practice located at 600 Montgomery Ave , West Chester PA 19380-4429. The organization recently has 2 registered licenses in different health care specialties including Transportation Services / Ambulance, Transportation Services / Land Transport. Transportation Services / Land Transport is the primary health care specialty. Good Fellowship Club Of Chester County, Inc. can be contacted via phone (610) 431-3132, or through Bossert, Timothy N via phone (610) 431-8780.

Contact Information

Primary practice address
600 Montgomery Ave West Chester PA 19380-4429
Fax: (610) 840-0413
Website:
Authorized official contact:
Name: Bossert, Timothy N

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Ambulance 341600000X 03056 Pennsylvania
Transportation Services / Land Transport 3416L0300X 06034 Pennsylvania

Profile Details

NPI number 1316937469
LBN Legal business name Good Fellowship Club Of Chester County, Inc.
DBA Doing business as
Authorized official Bossert, Timothy N
Entity Organization
Organization subpart 1 No
Enumeration date Oct 28th, 2005
Last updated Aug 6th, 2019 - about 5 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 1316937469 NPPES
Pennsylvania MEDICAID 0007127520001

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