# GGNSC POTTSVILLE LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Golden LivingCenter - York Terrace
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386695617
- **Authorized official:** HOLLY A. RASMUSSEN-JONES (SECRETARY OF THE GP)
- **Authorized official phone:** (479) 201-4835

## Contact information

- **Practice address:** 2401 W MARKET ST, POTTSVILLE, PA 17901-1833
- **Practice address phone:** (570) 622-3982
- **Practice address fax:** (570) 622-2872
- **Mailing address:** 2401 W MARKET ST, POTTSVILLE, PA 17901-1833
- **Mailing address phone:** (570) 622-3982
- **Mailing address fax:** (570) 622-2872

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 510202 | PA | Yes |

## Other

- **Enumeration date:** 05/12/2006
- **Last updated:** 07/16/2014

## 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 |