Center For Independent Living Of Central Pa

LBN: Center For Independent Living Of Central Pa
Center For Independent Living Of Central Pa is an health care organization with primary practice located at 207 House Ave Suite 107, Camp Hill PA 17011-2308. The organization recently has only one registered license in Agencies / Voluntary or Charitable, which is considered as the primary health care specialty. Center For Independent Living Of Central Pa can be contacted via phone (717) 731-1900, or through Braddy, Theotis W. via phone (717) 731-1900.

Contact Information

Primary practice address
207 House Ave Suite 107 Camp Hill PA 17011-2308
Fax:
Website:
Authorized official contact:
Name: Braddy, Theotis W.

Health care specialties

SpecialtyCodeLicense #State
Agencies / Voluntary or Charitable 251V00000X

Profile Details

NPI number 1407995137
LBN Legal business name Center For Independent Living Of Central Pa
DBA Doing business as
Authorized official Braddy, Theotis W.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407995137 NPPES
Pennsylvania MEDICAID 100003963-0010
Pennsylvania MEDICAID 100003963-0005
Pennsylvania MEDICAID 100003963-0012
Pennsylvania MEDICAID 100003963-0008

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