PHILHAVEN NPI 1508081639

NPI Information

  • NPI: 1508081639
  • Provider Name: PHILHAVEN
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Doing Business As: WELLSPAN PHILHAVEN
  • Address: 283 S BUTLER RD
    LEBANON, PA
    ZIP 17042
  • Phone: (717) 270-2425

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NPI Details

PHILHAVEN is a clinic center in Lebanon, PA. The provider is 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). PHILHAVEN NPI is 1508081639. The provider is registered as an organization entity type.
The provider Is Doing Business As Wellspan Philhaven.

The provider's business location address is:

283 S BUTLER RD
LEBANON, PA
ZIP 17042-939
Phone: (717) 270-2425

The provider's authorized official is Mantha Kotsalos .
The authorized official title is Vp & President Philhaven and has the following contact phone number (717) 270-2423.

The enumeration date for this NPI number is 4/16/2007 and was last updated on 6/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes
2261QM0855XClinic/CenterAdolescent and Children Mental HealthNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11007720000120MEDICAIDPENNSYLVANIA
21007720000147MEDICAIDPENNSYLVANIA
31007720000148MEDICAIDPENNSYLVANIA
41007720000150MEDICAIDPENNSYLVANIA
51007720000123MEDICAIDPENNSYLVANIA
61007720000144MEDICAIDPENNSYLVANIA
71007720000149MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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