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:
Map and Directions
Authorized official contact:
Name: Antognoli, John ED.D.
Phone: (570) 702-8360

Health care specialties

SpecialtyCodeLicense #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 16 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 1477689842 NPPES
Pennsylvania MEDICAID 1007283070003

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