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GAUDENZIA DRC OUTPATIENT
NPI 1043434608
Clinic/Center in Philadelphia, PA

Active since April 12, 2007
3200 HENRY AVE, PHILADELPHIA, PA 19129(215) 991-9700(215) 991-9796 Get Directions Write a Review

NPPES record last updated: July 19, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gaudenzia Drc Outpatient NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GAUDENZIA DRC OUTPATIENT (NPI 1043434608) is a healthcare organization registered as a clinic/center in Philadelphia, Pennsylvania and active in the NPI registry since April 2007. The organization lists Michael J Moyle, Dir. Fiscal & Corporate Operastions, as its authorized official.

NPPES Registry Identity

NPI1043434608
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameGAUDENZIA DRC INC
Location Address3200 HENRY AVEPhiladelphia, PA 19129-1137
Mailing Address106 W Main StNorristown, PA 19401-4716 · (610) 239-9600 · Fax (610) 275-7025
Phone(215) 991-9700
Fax(215) 991-9796
Organization SubpartNo
Authorized OfficialMichael J MoyleDir. Fiscal & Corporate Operastions · (610) 239-9600
Enumeration DateApril 12, 2007
Last NPPES UpdateJuly 19, 2010
✔ NPI 1043434608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in PA · 807384
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X · License 807384 (PA)
3200 HENRY AVE, Philadelphia, PA 19129
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Other Names 1

Other NameGaudenzia Drc Outpatient

Other Identifiers 1

Medicaid0019613780008PA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GAUDENZIA DRC INC
Clinic/Center (Rehabilitation, Substance Use Disorder)
3200 HENRY AVE
PHILADELPHIA, PA 19129
Philadelphia County (215) 991-9700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gaudenzia Drc Inc's NPI number?

The NPI number for Gaudenzia Drc Inc is 1043434608. It was assigned to this organization in the NPPES registry on April 12, 2007. The provider is also known as Gaudenzia Drc Outpatient.

Where is Gaudenzia Drc Inc located?

Gaudenzia Drc Inc is located at 3200 Henry Ave, Philadelphia, PA 19129. The listed phone number is (215) 991-9700.

What is Gaudenzia Drc Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Gaudenzia Drc Inc was last updated on July 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.