<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 / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Clinic/Center is the primary health care specialty. Philhaven can be contacted via phone (717) 270-2425, or through Kotsalos, Mantha via phone (717) 270-2423.

Contact Information

Primary practice address
283 S Butler Rd Lebanon PA 17042-8939
Phone: (717) 270-2425
Fax:
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 / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1508081639
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 Jun 12th, 2026 - about 5 months 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1508081639 NPPES
Pennsylvania MEDICAID 1007720000120
Pennsylvania MEDICAID 1007720000147
Pennsylvania MEDICAID 1007720000148
Pennsylvania MEDICAID 1007720000150
Pennsylvania MEDICAID 1007720000123
Pennsylvania MEDICAID 1007720000144
Pennsylvania MEDICAID 1007720000149

Popular Providers