Organization · Type 2 NPI

Gaudenzia Inc

Clinic/Center · Harrisburg, PA

NPI number 1467577619 Active

Practice location

2039 N 2nd St
Harrisburg, PA 17102-2103

Call (717) 233-3424 Map

Fax (717) 233-6399

Mailing address

106 W Main St
Norristown, PA 19401-4716

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	227035 (PA)

Clinic/Center: 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 clinic/center providers in Harrisburg

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NPI record

NPI: 1467577619
Entity type: Organization (Type 2)
Issued: Mar 20, 2007
Last updated: Dec 13, 2021
Status: Active

Other names

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Gaudenzia Harrisburg Outpatient Services · other name
Gaudenzia Harrisburg Outpatient Services · other name

Authorized official

Mike Williams
Sr. Contracting Manager
(484) 338-3731

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1467577619

Gaudenzia Inc's National Provider Identifier is 1467577619, issued on Mar 20, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Harrisburg, PA. The record was last updated on Dec 13, 2021.