GAUDENZIA, INC.


Address: 166 W Main St, Norristown, PA 19401-4716
Phone: 6102794262

GAUDENZIA, INC. (NPI# 1700051356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700051356
Entity Type Organization
Organization Name GAUDENZIA, INC.
Other Organization Name GAUDENZIA MONTGOMERY COUNTY OP
Practice Address 166 W Main St
Norristown
PA 19401-4716
Mailing Address 106 W Main St
Norristown
PA 19401-4716
Practice Telephone 6102794262
Practice Fax Number 6102781658
Mailing Telephone 6102399600
Enumeration Date 2008-04-24
Last Update Date 2019-05-13
Authorized Official Name MR. MICHAEL COYLE (DIRECTOR OF FISCAL AND ACCOUNTING)
Authorized Official Telephone 6102399600
Authorized Official Credential CPA
Is Organization Subpart Y
Parent Organization Name GAUDENZIA

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
PA 1002285890109 05

Other Provider/Organization Names

Other Name Type Code
Gaudenzia Montgomery County Op Other Name - Individual/Organization

Provider Secondary Practice Location

Address Telephone Number Fax Number
55 E Marshall St, Norristown, PA 194014818 6102794262

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1972061497 Gaudenzia, Inc. Clinic/Center 105 Circle Drive, Crownsville, MD 21032-2061 2019-03-04
1932650744 Gaudenzia, Inc. Substance Abuse Rehabilitation Facility 4613 Park Heights Ave, Baltimore, MD 21215-6339 2016-10-17
1295181170 Gaudenzia, Inc. Counselor 5 Crain Highway North - Rear Suite Entrance, Glen Burnie, MD 21061 2016-05-10
1558352872 Gaudenzia, Inc. Substance Abuse Rehabilitation Facility 106 W Main St, Norristown, PA 19401-4716 2005-11-04
1750755351 Gaudenzia, Inc. Substance Abuse Rehabilitation Facility 107 Circle Dr, Crownsville, MD 21032-2061 2015-11-19

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities GAUDENZIA, INC. 106 W Main St, Norristown, PA 19401-4716

Office Location

Street Address 166 W MAIN ST
City NORRISTOWN
State PA
Zip Code 19401-4716

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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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NPI Name Taxonomy Address Enumeration
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1275703670 Mercy Suburban Hospital Clinic/Center 2701 Dekalb Pike, Norristown, PA 19401-1820 2008-03-03

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Competitor

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City NORRISTOWN
Zip Code 19401

Improve Information

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Dataset Information

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.

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