Gaudenzia Inc, NPI 1467577619
Clinic/Center in Harrisburg, PA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1467577619
NPI Entity Type Organization
Provider Name Gaudenzia Inc
Other Name
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 2039 N 2nd St, Harrisburg, PA, US
Provider Mailing Address 106 W Main St, Norristown, PA, US, 194014716
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name Mike Williams
Official Position SR. CONTRACTING MANAGER
Phone 484-338-3731

Primary Taxonomy

Taxonomy Code

261Q00000X

Taxonomy Name Clinic/Center
Classification

Clinic/Center

Group

Ambulatory Health Care Facilities

License No. 227035
License State PA
Description A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Other Organization Name

GAUDENZIA HARRISBURG OUTPATIENT SERVICES
Other Name

Business Address

Gaudenzia Inc
2039 N 2nd St

Harrisburg, PA, US

Phone: 717-233-3424
Fax: 717-233-6399

Mailing Address

Gaudenzia Inc
106 W Main St
Norristown, PA, US
ZIP 194014716
Phone: 610-239-9600
Fax: 610-275-7025

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
1002285890013 PA MEDICAID 05
1002285890012 PA MEDICAID 05
1002285890015 PA MEDICAID 05
1002285890057 PA MEDICAID 05

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