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Organization
GGNSC POTTSVILLE LP
Active
Organization
GGNSC POTTSVILLE LP
Active
Other names
Golden LivingCenter - York Terrace
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY A. RASMUSSEN-JONES (SECRETARY OF THE GP)
(479) 201-4835
Entity
Organization
Contact information
Practice address
2401 W MARKET ST, POTTSVILLE, PA 17901-1833
(570) 622-3982
(570) 622-2872
Mailing address
2401 W MARKET ST, POTTSVILLE, PA 17901-1833
(570) 622-3982
(570) 622-2872
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
510202
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000131327
THREE RIVERS HEALTH PLAN
PA
05
—
101558506
—
PA
05
—
1015585060001
—
PA
01
—
1526891
GATEWAY HEALTH PLAN
PA
01
—
395252
CAPITAL BLUE CROSS
PA
01
—
41416
GEISINGER HEALTH PLAN
PA
Enumeration date
05/12/2006
Last updated
07/16/2014
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