Gaudenzia Inc
NPI 1104058338ActiveOrganization· Clinic/Center· Pottsville, PA
Clinic/Center in Pottsville, Pennsylvania, registered in NPPES in August 2009. The authorized official on file is Mike Williams, Sr. Contracting Manager.
Overview
| NPI | 1104058338 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 21, 2009 |
| Last updated in NPPES | Feb 24, 2022 |
| Certified by provider | Feb 24, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | 547027 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Clinic/Center providers in Pottsville
- 1003170937
- 1013032945
- 1053538470
- 1174522205
- 1386840114
- 1841469954
- 1871850685