WATER STREET HEALTH SERVICES (NPI# 1235441742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235441742 |
| Entity Type | Organization |
| Organization Name | WATER STREET HEALTH SERVICES |
| Other Organization Name | WATER STREET RESCUE MISSION MEDICAL CLINIC |
| Practice Address |
210 S Prince St Lancaster PA 17603-5314 |
| Practice Telephone | 7173582017 |
| Practice Fax Number | 7173931017 |
| Mailing Telephone | 7173582017 |
| Mailing Fax Number | 7173931017 |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2010-07-13 |
| Authorized Official Name | GALE THOMASON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7173582092 |
| Authorized Official Credential | RN, BSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities | ||
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Water Street Rescue Mission Medical Clinic | Former Legal Business Name - Organization |
| Street Address |
210 S PRINCE ST |
| City | LANCASTER |
| State | PA |
| Zip Code | 17603-5314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982114880 | Carl D Sands | Counselor | 210 S Prince St, Lancaster, PA 17603-5314 | 2017-10-05 |
| 1285996132 | Naaman Center | Counselor | 210 S Prince St, Lancaster, PA 17603-5314 | 2012-06-15 |
| 1023398237 | Christine Janouschek | Family Medicine | 210 S Prince St, Lancaster, PA 17603-5314 | 2011-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757311 | Meadow Grove Counseling, LLC | Counselor | 822 Marietta Avenue, Lancaster, PA 17603 | 2020-07-06 |
| 1386274355 | Bristeena K Peter | Registered Nurse | 122 Broadstone St, Lancaster, PA 17603 | 2020-01-18 |
| 1164926457 | Kelly Fickett | Registered Nurse | 100 Rohrstown Rd, Suite A, Lancaster, PA 17603 | 2018-03-21 |
| 1063929115 | Lancaster Behavioral Health Hospital LLC | Psychiatric Hospital | 333 Harrisburg Ave, Lancaster, PA 17603 | 2018-01-10 |
| 1659880458 | Young Men's Christian Association of Lancaster County | Health Educator | 265 Harrisburg Ave, Lancaster, PA 17603 | 2017-09-25 |
| 1447779228 | Joshua Michael Saez | Licensed Practical Nurse | 410 N Prince St., Lancaster, PA 17603 | 2017-09-13 |
| 1689190126 | Leeann Koch | Audiologist | 2160 Noll Drive, Suite 100, Lancaster, PA 17603 | 2017-08-16 |
| 1972950327 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 354 N. Prince Street, Suite 120, Lancaster, PA 17603 | 2016-05-16 |
| 1366804833 | Yesenia Colon Rivera | Psychologist | 812 North Prince St., Lancaster, PA 17603 | 2016-03-24 |
| 1073975959 | Laura Morse | Counselor | 48 N Queen St, Lancaster, PA 17603 | 2016-03-22 |
| Find all providers in zip 17603 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730630427 | Antelope Valley Community Clinic | Clinic/Center | 45124 10th St W, Lancaster, CA 93534-2310 | 2016-10-18 |
| 1508001645 | Independence Community Treatment Clinic | Clinic/Center | 228 E Avenue H8, Room 101,102,103,104,105,106, and Cafeteria, Lancaster, CA 93535-1809 | 2008-12-03 |
| 1881839033 | Independence Community Treatment Clinic | Clinic/Center | 45030 3rd St E, Room 09,10,15,16,17, Lancaster, CA 93535-2503 | 2008-12-02 |
| 1396990685 | Independence Community Treatment Clinic | Clinic/Center | 3200 E Avenue J8, Room 101,102,103,104,121,124, Lancaster, CA 93535-5827 | 2008-12-01 |
| 1508039728 | Independence Community Treatment Clinic | Clinic/Center | 209 W Avenue J, Rooms E,g, H, Front Office, Lancaster, CA 93534-3656 | 2008-04-09 |
| 1699948810 | Independence Community Treatment Clinic | Clinic/Center | 44701 32nd St W, Lancaster High School, Lancaster, CA 93536-7023 | 2008-04-09 |
| 1992901078 | West County Medical Corp | Clinic/Center | 500 E Avenue K, Lancaster, CA 93535-4738 | 2007-06-25 |
| 1427518786 | Jwch Institute, Inc. | Clinic/Center | 45104 10th St W, Lancaster, CA 93534-2310 | 2019-03-22 |
| 1770711848 | Independence Community Treatment Clinic | Clinic/Center | 43520 Division St, 202, Conference Room, Lancaster, CA 93535-4089 | 2009-06-29 |
| 1780821769 | Independence Community Treatment Clinic | Clinic/Center | 44900 Division St, Room 240,820,730,731, Lancaster, CA 93535-2538 | 2009-01-14 |
| Find all providers in LANCASTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.