| Gaudenzia Coatesville Outpatient | |
|
31 S 10th Ave Coatesville PA 19320-3561 | |
| (610) 383-9600 | |
| (610) 383-4811 |
| Full Name | Gaudenzia Coatesville Outpatient |
|---|---|
| Speciality | Clinic/center |
| Location | 31 S 10th Ave, Coatesville, Pennsylvania |
| Authorized Official Name and Position | Mike Williams (SENIOR CONTRACTING MANAGER) |
| Authorized Official Contact | 4843383731 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gaudenzia Coatesville Outpatient 106 W Main St Norristown PA 19401-4716 Ph: (610) 239-9600 | Gaudenzia Coatesville Outpatient 31 S 10th Ave Coatesville PA 19320-3561 Ph: (610) 383-9600 |
| NPI Number | 1245478528 |
|---|---|
| Provider Enumeration Date | 01/26/2009 |
| Last Update Date | 03/28/2021 |
| Certification Date | 03/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245478528 | NPI | - | NPPES |
| 1002285890077 | Medicaid | PA | |
| 1002285890078 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 157063 (Pennsylvania) | Secondary |
| 261Q00000X | Clinic/center | 157063 (Pennsylvania) | Primary |
The Network For Behavior Change Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 848 W Kings Hwy, Coatesville, PA 19320 Phone: 610-383-9494 Fax: 610-383-9494 | |
Cap Brandywine Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Reeceville Rd, Coatesville, PA 19320 Phone: 610-383-8000 | |
Human Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1219 E Lincoln Hwy, Coatesville, PA 19320 Phone: 610-384-6058 Fax: 610-384-6251 | |
Samara House Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 423 E Lincoln Hwy, Coatesville, PA 19320 Phone: 610-384-9591 | |
Human Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 255 Reeceville Rd Ste 4, Coatesville, PA 19320 Phone: 610-380-9982 Fax: 610-380-9987 | |
Evolve Individual Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 139 E Chestnut St Ste 204, Coatesville, PA 19320 Phone: 202-770-6042 | |
Brandywine Hospital Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Reeceville Rd, Coatesville, PA 19320 Phone: 610-383-8000 Fax: 610-383-8360 |