Lourdesmont Good Shepherd

LBN: Lourdesmont Behavioral Health Services
Lourdesmont Good Shepherd is an health care organization with primary practice located at 537 Venard Rd , Clarks Summit PA 18411-1249. The organization recently has 5 registered licenses in different health care specialties including Agencies / Public Health or Welfare, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children. Agencies / Community/Behavioral Health is the primary health care specialty. Lourdesmont Behavioral Health Services can be contacted via phone (570) 587-4741, or through Santoli, Sal via phone (570) 348-6100.

Contact Information

Primary practice address
537 Venard Rd Clarks Summit PA 18411-1249
Phone: (570) 587-4741
Fax: (570) 586-0030
Website:
Map and Directions
Authorized official contact:
Name: Santoli, Sal M.S.
Phone: (570) 348-6100

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1801012349
LBN Legal business name Lourdesmont Behavioral Health Services
DBA Doing business as Lourdesmont Good Shepherd
Authorized official Santoli, Sal M.S.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2007
Last updated May 8th, 2014 - about 12 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 1801012349 NPPES
Pennsylvania MEDICAID 1007283070009

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