Organization
GOOD SHEPHERD CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ANTOGNOLI ED.D. (CHIEF EXECUTIVE OFFICER)
(570) 702-8360
Entity
Organization
Contact information
Practice address
1327 WYOMING AVE, SCRANTON, PA 18509-2861
(570) 702-8360
(570) 702-8623
Mailing address
1327 WYOMING AVE, SCRANTON, PA 18509-2861
(570) 702-8360
(570) 702-8623
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
000351062
PA
251S00000X
Community/Behavioral Health Agency
000351062
PA
261Q00000X
Clinic/Center
000351062
PA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
000351062
PA
261QM0855X
Adolescent and Children Mental Health Clinic/Center
000351062
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007283070003
—
PA
Enumeration date
02/27/2007
Last updated
09/15/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us