<Unavail>

LBN: Philhaven
<Unavail> is an health care organization with primary practice located at 283 S Butler Rd , Lebanon PA 17042-8939. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Philhaven can be contacted via phone (717) 270-2422, or through Kotsalos, Mantha via phone (717) 270-2423.

Contact Information

Primary practice address
283 S Butler Rd Lebanon PA 17042-8939
Phone: (717) 270-2422
Fax: (717) 279-2792
Website:
Map and Directions
Authorized official contact:
Name: Kotsalos, Mantha
Phone: (717) 270-2423

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1275758393
LBN Legal business name Philhaven
DBA Doing business as <Unavail>
Authorized official Kotsalos, Mantha
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2007
Last updated Oct 18th, 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 1275758393 NPPES
Pennsylvania MEDICAID 1007720000131
Pennsylvania MEDICAID 1007720000134
Pennsylvania MEDICAID 1007720000135
Pennsylvania MEDICAID 1007720000128
Pennsylvania MEDICAID 1007720000127
Pennsylvania MEDICAID 1007720000132
Pennsylvania MEDICAID 1007720000076
Pennsylvania MEDICAID 1007720000133
Pennsylvania MEDICAID 1007720000136
Pennsylvania MEDICAID 1007720000137
Pennsylvania MEDICAID 1007720000138
Pennsylvania MEDICAID 1007720000152

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