# WATER STREET HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Water Street Rescue Mission Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235441742
- **Authorized official:** GALE THOMASON RN, BSN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (717) 358-2092

## Contact information

- **Practice address:** 210 S PRINCE ST, LANCASTER, PA 17603-5314
- **Practice address phone:** (717) 358-2017
- **Practice address fax:** (717) 393-1017
- **Mailing address:** 210 S PRINCE ST, LANCASTER, PA 17603-5314
- **Mailing address phone:** (717) 358-2017
- **Mailing address fax:** (717) 393-1017

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |
| 261QD0000X | Dental Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/13/2010
- **Last updated:** 07/13/2010