Saint Vincent Diabetes Resource Outpatient Nutrition Center

LBN: Saint Vincent Diabetes Resource Outpatient Nutrition Center
Saint Vincent Diabetes Resource Outpatient Nutrition Center is an health care organization with primary practice located at 145 W 23Rd St Suite 302, Erie PA 16544-0002. The organization recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as the primary health care specialty. Saint Vincent Diabetes Resource Outpatient Nutrition Center can be contacted via phone (814) 452-7354, or through Whalen, Scott A via phone (814) 452-5111.

Contact Information

Primary practice address
145 W 23Rd St Suite 302 Erie PA 16544-0002
Phone: (814) 452-7354
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Whalen, Scott A PHD, FACHE
Phone: (814) 452-5111

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X

Profile Details

NPI number 1821419813
LBN Legal business name Saint Vincent Diabetes Resource Outpatient Nutrition Center
DBA Doing business as
Authorized official Whalen, Scott A PHD, FACHE
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 18th, 2013
Last updated Dec 18th, 2013 - about 11 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 1821419813 NPPES
Pennsylvania Other 0072 HIGHMARK FACILITY NUMBER
Pennsylvania MEDICAID 1001625200025 HIGHMARK FACILITY NUMBER

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