Masonic Village At Elizabethtown

LBN: Masonic Homes At Elizabethtown Lg Ldg Of Free & Accptd Masons Pa
Masonic Village At Elizabethtown is an health care organization with primary practice located at 1 Masonic Dr , Elizabethtown PA 17022-2199. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Institutional Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Masonic Homes At Elizabethtown Lg Ldg Of Free & Accptd Masons Pa can be contacted via phone (717) 367-1121, or through Prazenica, William J. via phone (717) 367-1121.

Contact Information

Primary practice address
1 Masonic Dr Elizabethtown PA 17022-2199
Phone: (717) 367-1121
Fax: (717) 367-5813
Website:
Map and Directions
Authorized official contact:
Name: Prazenica, William J. CPA
Phone: (717) 367-1121

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Institutional Pharmacy 3336I0012X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1871551085
LBN Legal business name Masonic Homes At Elizabethtown Lg Ldg Of Free & Accptd Masons Pa
DBA Doing business as Masonic Village At Elizabethtown
Authorized official Prazenica, William J. CPA
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2006
Last updated May 19th, 2008 - 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 1871551085 NPPES
Pennsylvania MEDICAID 1000027230030

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