Gaudenzia Coatesville Outpatient

LBN: Gaudenzia Inc.
Gaudenzia Coatesville Outpatient is an health care organization with primary practice located at 31 S 10Th Ave , Coatesville PA 19320-3561. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Clinic/Center. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Gaudenzia Inc. can be contacted via phone (610) 383-9600, or through Williams, Mike via phone (484) 338-3731.

Contact Information

Primary practice address
31 S 10Th Ave Coatesville PA 19320-3561
Phone: (610) 383-9600
Fax: (610) 383-4811
Website:
Map and Directions
Authorized official contact:
Name: Williams, Mike
Phone: (484) 338-3731

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 157063 Pennsylvania
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 157063 Pennsylvania

Profile Details

NPI number 1245478528
LBN Legal business name Gaudenzia Inc.
DBA Doing business as Gaudenzia Coatesville Outpatient
Authorized official Williams, Mike
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2009
Last updated Mar 28th, 2021 - about 5 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 1245478528 NPPES
Pennsylvania MEDICAID 1002285890077
Pennsylvania MEDICAID 1002285890078

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