| Gaudenzia Pottsville Outpatient | |
|
1 S 2nd St 4th Floor Pottsville PA 17901-3174 | |
| (570) 622-6485 | |
| (570) 622-2422 |
| Full Name | Gaudenzia Pottsville Outpatient |
|---|---|
| Speciality | Clinic/center |
| Location | 1 S 2nd St, Pottsville, 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 Pottsville Outpatient 106 W Main St Norristown PA 19401-4716 Ph: (610) 239-9600 | Gaudenzia Pottsville Outpatient 1 S 2nd St 4th Floor Pottsville PA 17901-3174 Ph: (570) 622-6485 |
| NPI Number | 1104058338 |
|---|---|
| Provider Enumeration Date | 08/21/2009 |
| Last Update Date | 02/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104058338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 547027 (Pennsylvania) | Primary |
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