Gmc Goldman Clinic Goldman Iop

LBN: The Behavioral Wellness Center At Girard
Gmc Goldman Clinic Goldman Iop is an health care organization with primary practice located at 801 W Girard Ave , Philadelphia PA 19122-4212. The organization recently has only one registered license in Ambulatory Health Care Facilities / Methadone, which is considered as the primary health care specialty. The Behavioral Wellness Center At Girard can be contacted via phone (215) 787-2000, or through Walker, Gerri H via phone (215) 787-9001.

Contact Information

Primary practice address
801 W Girard Ave Philadelphia PA 19122-4212
Phone: (215) 787-2000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Walker, Gerri H
Phone: (215) 787-9001

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Methadone 261QM2800X

Profile Details

NPI number 1336350966
LBN Legal business name The Behavioral Wellness Center At Girard
DBA Doing business as Gmc Goldman Clinic Goldman Iop
Authorized official Walker, Gerri H
Entity Organization
Organization subpart 1 Yes
Enumeration date May 25th, 2007
Last updated Aug 3rd, 2022 - about 2 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 1336350966 NPPES
Pennsylvania MEDICAID 1007276960111
Pennsylvania MEDICAID 1007276960014

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