| Wellspan Philhaven | |
|
283 S Butler Rd Lebanon PA 17042-8939 | |
| (800) 932-0359 | |
| Not Available |
| Full Name | Wellspan Philhaven |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 283 S Butler Rd, Lebanon, Pennsylvania |
| Authorized Official Name and Position | Mantha Kotsalos (VP & PRESIDENT PHILHAVEN) |
| Authorized Official Contact | 7172702423 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspan Philhaven 601 Memory Ln York PA 17402-2231 Ph: (717) 851-1405 | Wellspan Philhaven 283 S Butler Rd Lebanon PA 17042-8939 Ph: (800) 932-0359 |
| NPI Number | 1265657381 |
|---|---|
| Provider Enumeration Date | 04/16/2007 |
| Last Update Date | 06/05/2024 |
| Certification Date | 06/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265657381 | NPI | - | NPPES |
| 1007720000090 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
| 283Q00000X | Psychiatric Hospital | (* (Not Available)) | Secondary |
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