Organization
GGNSC SHIPPENVILLE LP
Active
Other names
Golden LivingCenter - Shippenville
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY A. RASMUSSEN-JONES (SEC. OF THE GP)
(479) 201-4835
Entity
Organization
Contact information
Practice address
21158 PAINT BLVD, SHIPPENVILLE, PA 16254-4024
(814) 226-5660
(814) 226-9896
Mailing address
21158 PAINT BLVD, SHIPPENVILLE, PA 16254-4024
(814) 226-5660
(814) 226-9896
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
026002
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000079446
THREE RIVERS HEALTH PLAN
PA
01
—
0654
HIGHMARK WESTERN PA
PA
05
—
101558130
—
PA
05
—
1015581300001
—
PA
01
—
126258
HEALTH AMERICA
PA
01
—
1518751
GATEWAY HEALTH PLAN
PA
01
—
312367
UPMC
PA
Enumeration date
05/12/2006
Last updated
07/16/2014
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