Gaudenzia Inc
Organization Active NPI Clinic/Center · Pottsville, PA
NPI 1104058338 · NPPES record last updated Feb 24, 2022
Key facts
- NPI
- 1104058338
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- License
- 547027 (PA)
- Legal business name
- GAUDENZIA INC
- Practice address
- 1 S 2ND St
4TH Floor
Pottsville, PA 17901-3174 - Phone
- (570) 622-6485
- Fax
- (570) 622-2422
- NPI assigned
- Aug 21, 2009
- Organization subpart
- No
Authorized official
- Name
- Mike Williams
- Title
- Sr. Contracting Manager
- Phone
- (484) 338-3731
Corporate family (same tax ID) 17
National Provider Directory
- Tax ID family
- Gaudenzia
Locations
1 S 2nd St
Fl 4
Pottsville, PA 17901
Phone (570) 622-6485
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 547027 | PA | Yes |
Addresses
Primary practice location
1 S 2ND St
4TH Floor
Pottsville, PA 17901-3174
Mailing address
106 W Main St
Norristown, PA 19401-4716
Phone (610) 239-9600
Other names
- GAUDENZIA POTTSVILLE OUTPATIENT
Other providers in Pottsville, PA
- Samuel Garloff
- John C Garrett
- Alicia R Garrity
- Gary a Cortese, DPM
- Gary L Scheib
- GD PA PLLC
- Courtney Gehman
- Geisinger Clinic
- Geisinger Clinic
- Geisinger Clinic
All providers in Pottsville, PA · Clinic/Center in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.