Good Shepherd Corporation
LBN: Good Shepherd Corporation
Good Shepherd Corporation is an health care organization with primary practice located at 1327 Wyoming Ave , Scranton PA 18509-2861. The organization recently has 5 registered licenses in different health care specialties including Agencies / Public Health or Welfare, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Agencies / Public Health or Welfare is the primary health care specialty.
Good Shepherd Corporation can be contacted via phone (570) 702-8360, or through Antognoli, John via phone (570) 702-8360.
Contact Information
Primary practice address
1327 Wyoming Ave
Scranton PA 18509-2861
Phone: (570) 702-8360
Fax: (570) 702-8623
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Public Health or Welfare | 251K00000X | 000351062 | Pennsylvania |
| Agencies / Community/Behavioral Health | 251S00000X | 000351062 | Pennsylvania |
| Ambulatory Health Care Facilities / Clinic/Center | 261Q00000X | 000351062 | Pennsylvania |
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | 000351062 | Pennsylvania |
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X | 000351062 | Pennsylvania |
Profile Details
| NPI number | 1477689842 |
|---|---|
| LBN Legal business name | Good Shepherd Corporation |
| DBA Doing business as | |
| Authorized official | Antognoli, John ED.D. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Sep 15th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477689842 | NPPES |
| Pennsylvania | MEDICAID | 1007283070003 |
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