# GGNSC CAMP HILL WEST SHORE LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Golden LivingCenter - West Shore
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669423992
- **Authorized official:** HOLLY A. RASMUSSEN-JONES (SEC. OF THE GP)
- **Authorized official phone:** (479) 201-4835

## Contact information

- **Practice address:** 770 POPLAR CHURCH RD, CAMP HILL, PA 17011-2302
- **Practice address phone:** (717) 763-7070
- **Practice address fax:** (717) 763-7850
- **Mailing address:** 770 POPLAR CHURCH RD, CAMP HILL, PA 17011-2302
- **Mailing address phone:** (717) 763-7070
- **Mailing address fax:** (717) 763-7850

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 280202 | PA | Yes |

## Other

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

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000119083 | THREE RIVERS HEALTH PLAN | PA |
| 05 | — | 101553152 | — | PA |
| 05 | — | 1015531520001 | — | PA |
| 01 | — | 1508302 | GATEWAY HEALTH PLAN | PA |
| 01 | — | 2139 | HIGHMARK CENTRAL FREEDOM | PA |
| 01 | — | 395223 | CAPITAL BLUE CROSS | PA |
| 01 | — | 61360 | GEISINGER HEALTH PLAN | PA |