Wellspan Philhaven

LBN: Philhaven
Wellspan Philhaven is an health care organization with primary practice located at 283 S Butler Rd , Lebanon PA 17042-8939. The organization recently has 6 registered licenses in different health care specialties including Agencies / Public Health or Welfare, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Philhaven can be contacted via phone (717) 270-2405, or through Kotsalos, Mantha via phone (717) 270-2423.

Contact Information

Primary practice address
283 S Butler Rd Lebanon PA 17042-8939
Phone: (717) 270-2405
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kotsalos, Mantha
Phone: (717) 270-2423

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1174629463
LBN Legal business name Philhaven
DBA Doing business as Wellspan Philhaven
Authorized official Kotsalos, Mantha
Entity Organization
Organization subpart 1 No
Enumeration date Sep 15th, 2006
Last updated Jun 5th, 2024 - about 2 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 1174629463 NPPES
Pennsylvania MEDICAID 1007720000054
Pennsylvania MEDICAID 1007720000145
Pennsylvania MEDICAID 1007720000115
Pennsylvania MEDICAID 1007720000037

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