GSH Dialysis, Inc.

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

392557 Issued in PA

Legal business name

GSH DIALYSIS, INC.

Practice address

440 Oak St
Lebanon, PA 17042-6243

Phone

(717) 274-7552

Fax

(717) 272-3061

NPI assigned

Aug 2, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Joseph Coffey, ACCOUNTANT

Title

Budget/Reimbursement Specialist

Phone

(717) 270-7811

Specialties & licenses 1

Addresses

Other identifiers 3

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750382610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 OAK ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170426243",
            "telephone_number": "717-274-7552",
            "fax_number": "717-272-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 OAK ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170426243",
            "telephone_number": "717-274-7552",
            "fax_number": "717-272-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GSH DIALYSIS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COFFEY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "BUDGET/REIMBURSEMENT SPECIALIST",
        "authorized_official_telephone_number": "717-270-7811",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ACCOUNTANT"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "PA",
            "license": "392557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011692470001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1601",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAIC",
            "identifier": "392557",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rylie Groff
• Tami M Groves, CRNP
• Susan Elaine Grubb, LPC
• Melissa S Gruber, BA
• GSD Dental Inc
• GSH Home Med Care LLC
• GSH Urgent Care, Inc
• Yanfang Guan, M.D.
• Andres Guerra
• Nisha Gupta, CRNP

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Lebanon, PA
• Providers in Lebanon, PA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.