Organization
120 RIDER AVENUE OPERATING COMPANY, LP
Active
Other names
Pediatric Specialty Care at Lancaster
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY KENWORTHY (SR. DIRECTOR REVENUE CYCLE MGMT)
(716) 361-6636
Entity
Organization
Contact information
Practice address
120 RIDER AVE, LANCASTER, PA 17603-4831
(717) 394-0882
Mailing address
500 SENECA ST STE 100, BUFFALO, NY 14204-1963
(716) 361-6636
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
328590
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
328590
PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE
PA
01
—
328690
PENNSYLVANIA DEPARTMENT OF PUBLIC WELFARE
PA
Enumeration date
02/16/2011
Last updated
09/23/2024
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