| Gaudenzia Harrisburg Outpatient Services | |
|
2039 N 2nd St Harrisburg PA 17102-2103 | |
| (717) 233-3424 | |
| (717) 233-6399 |
| Full Name | Gaudenzia Harrisburg Outpatient Services |
|---|---|
| Speciality | Clinic/center |
| Location | 2039 N 2nd St, Harrisburg, Pennsylvania |
| Authorized Official Name and Position | Mike Williams (SR. CONTRACTING MANAGER) |
| Authorized Official Contact | 4843383731 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gaudenzia Harrisburg Outpatient Services 106 W Main St Norristown PA 19401-4716 Ph: (610) 239-9600 | Gaudenzia Harrisburg Outpatient Services 2039 N 2nd St Harrisburg PA 17102-2103 Ph: (717) 233-3424 |
| NPI Number | 1467577619 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 12/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467577619 | NPI | - | NPPES |
| 1002285890013 | Medicaid | PA | |
| 1002285890012 | Medicaid | PA | |
| 1002285890015 | Medicaid | PA | |
| 1002285890057 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 227035 (Pennsylvania) | Primary |
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