| Gaudenzia Inc | |
|
4740 Delbrook Rd Mechanicsburg PA 17050-3041 | |
| (717) 766-8517 | |
| (717) 796-0196 |
| Full Name | Gaudenzia Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 4740 Delbrook Rd, Mechanicsburg, 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 Inc 106 W Main St Norristown PA 19401-4716 Ph: (610) 239-9600 | Gaudenzia Inc 4740 Delbrook Rd Mechanicsburg PA 17050-3041 Ph: (717) 766-8517 |
| NPI Number | 1386769545 |
|---|---|
| Provider Enumeration Date | 03/20/2007 |
| Last Update Date | 03/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386769545 | NPI | - | NPPES |
| 1002285890084 | Medicaid | PA | |
| 1002285890080 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 211144 (Pennsylvania) | Primary |
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