Lourdesmont Good Shepherd
LBN: Lourdesmont Behavioral Health Services
Lourdesmont Good Shepherd is an health care organization with primary practice located at 537 Venard Rd , Clarks Summit PA 18411-1249. 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 / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Agencies / Community/Behavioral Health is the primary health care specialty.
Lourdesmont Behavioral Health Services can be contacted via phone (570) 587-4741, or through Santoli, Sal via phone (570) 348-6100.
Contact Information
Primary practice address
537 Venard Rd
Clarks Summit PA 18411-1249
Phone: (570) 587-4741
Fax: (570) 586-0030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Public Health or Welfare | 251K00000X | ||
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | ||
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X | ||
| Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children | 322D00000X |
Profile Details
| NPI number | 1801012349 |
|---|---|
| LBN Legal business name | Lourdesmont Behavioral Health Services |
| DBA Doing business as | Lourdesmont Good Shepherd |
| Authorized official | Santoli, Sal M.S. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 17th, 2007 |
| Last updated | May 8th, 2014 - about 10 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 | 1801012349 | NPPES |
| Pennsylvania | MEDICAID | 1007283070009 |
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