Organization
GAUDENZIA
Active
Other names
GAUDENZIA WINNER PROGRAM
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE WILLIAMS (SR. CONTRACTING MANAGER)
(484) 338-3731
Entity
Organization
Contact information
Practice address
1834 W TIOGA ST, PHILADELPHIA, PA 19140-4939
(215) 228-7595
(215) 965-7779
Mailing address
106 W MAIN ST, NORRISTOWN, PA 19401-4716
(610) 239-9600
(610) 275-7025
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
807404
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002285890071
—
PA
Enumeration date
04/24/2008
Last updated
03/10/2022
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