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Organization

PENNSYLVANIA PSYCHIATRIC INSTITUTE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY FEEMAN (CEO)
(717) 782-4742
Entity
Organization

Contact information

Practice address
2501 N 3RD ST, HARRISBURG, PA 17110-1904
(717) 782-4783
(717) 782-2351
Mailing address
PO BOX 826929, PHILADELPHIA, PA 19182-1904
(717) 782-4783
(717) 782-2351

Taxonomy

Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102096380 0001
PA
01
1569499
GATEWAY MEDIASSURED
PA
01
2318
HIGHMARK
PA
01
394000
CAPITAL BLUE CROSS
PA
Enumeration date
01/11/2008
Last updated
05/05/2021
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