GAUDENZIA NPI 1811011513

NPI Information

NPI: 1811011513
Provider Name: GAUDENZIA

Other Name: GAUDENZIA COMMON GROUND

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
3740 CHAMBERS HILL RD
HARRISBURG, PA
ZIP 17111
Phone: (717) 238-5553
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GAUDENZIA is a rehabilitation and substance use disorder clinic center in Harrisburg, PA. GAUDENZIA NPI is 1811011513. The provider is registered as an organization entity type.
The provider Other Name Is Gaudenzia Common Ground.

The provider's business location address is:

3740 CHAMBERS HILL RD
HARRISBURG, PA
ZIP 17111-510
Phone: (717) 238-5553
Fax: (717) 232-7362

The provider's authorized official is Mike Williams .
The authorized official title is Sr. Contract Manager and has the following contact phone number (484) 338-3731.

The enumeration date for this NPI number is 3/19/2007 and was last updated on 4/22/2022.

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
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	227036	PENNSYLVANIA	Yes

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
1	1002285890114	MEDICAID	PENNSYLVANIA

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: 4/28/2024

NPI Synchronization or Removal

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