Gaudenzia

Organization Active NPI Clinic/Center · MC Connellsburg, PA

NPI 1225495609 · NPPES record last updated May 8, 2021

Key facts

NPI
1225495609
Entity type
Organization (NPI type 2)
Primary specialty
Clinic/Center 261Q00000X
Legal business name
GAUDENZIA
Practice address
201 Lincoln Way W
MC Connellsburg, PA 17233-1319
Phone
(717) 325-4855
Fax
(717) 325-0444
NPI assigned
Jan 15, 2016
Organization subpart
No

Authorized official

Name
Mike Williams
Title
Sr. Contracting Manager
Phone
(484) 338-3731

Corporate family (same tax ID) 22

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Gaudenzia (77 organizations share this tax ID)

Locations

201 Lincoln Way W
Mc Connellsburg, PA 17233
Phone (717) 325-4855

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Yes

Addresses

Primary practice location

201 Lincoln Way W
MC Connellsburg, PA 17233-1319

Mailing address

106 W Main St
Norristown, PA 19401-4716
Phone (610) 239-9600

Other names

  • GAUDENZIA FULTON OUTPATIENT Other name

Other providers in MC Connellsburg, PA

All providers in MC Connellsburg, PA · Clinic/Center in Pennsylvania

Sources for this page

Verify at the official NPI Registry.