GAUDENZIA POTTSVILLE OUTPATIENT
NPI 1104058338
Clinic/Center in Pottsville, PA

NPI Status: Active since August 21, 2009

Contact Information

1 S 2ND ST
4TH FLOOR
POTTSVILLE, PA
ZIP 17901
Phone: (570) 622-6485
Fax: (570) 622-2422

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  • Organization
  • Clinic/Center
  • Accepts Insurance

About GAUDENZIA POTTSVILLE OUTPATIENT

This page provides the complete NPI Profile along with additional information for Gaudenzia Pottsville Outpatient, a provider established in Pottsville, Pennsylvania operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1104058338 assigned on August 2009. The practitioner's primary taxonomy code is 261Q00000X with license number 547027 (PA). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's other name is Gaudenzia Pottsville Outpatient. The authorized official of this NPI record is Mike Williams (Sr. Contracting Manager)

NPI
1104058338
Provider Legal Name
GAUDENZIA INC
Other Organization Name
GAUDENZIA POTTSVILLE OUTPATIENT
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1 S 2ND ST 4TH FLOOR POTTSVILLE, PA 17901
Location Phone
(570) 622-6485
Location Fax
(570) 622-2422
Mailing Address
106 W MAIN ST NORRISTOWN, PA 19401
Mailing Phone
(610) 239-9600
Mailing Fax
(570) 622-2422
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-21-2009
Last Update Date
02-24-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
547027
License State
PA
Taxonomy Description
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).

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Principal Bronze HSA - EPO
  • Principal Bronze HSA + Vision + Adult Dental - EPO
  • Standard Expanded Bronze - EPO
  • Standard Expanded Bronze + Vision + Adult Dental - EPO
  • Standard Gold - EPO
  • Standard Gold + Vision + Adult Dental - EPO
  • Standard Silver - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MIKE WILLIAMS

Authorized Official Title
SR. CONTRACTING MANAGER
Authorized Official Phone
(484) 338-3731

Reviews for GAUDENZIA POTTSVILLE OUTPATIENT

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104058338, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
3
Unchanged
Pos 9
3
Doubled → 6
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 0 → 0 8 → 16 → 7 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 0 + 5 + 1 + 6 + 3 + 6 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1104058338.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Counselor (Professional)
1 S 2ND ST
POTTSVILLE, PA 17901
Counselor (Professional)
1 S 2ND ST
POTTSVILLE, PA 17901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104058338, enumerated as an "organization" on August 21, 2009.

The provider is located at 1 S 2ND ST 4TH FLOOR POTTSVILLE, PA 17901 and the phone number is (570) 622-6485.

Clinic/Center with taxonomy code 261Q00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter Health. Please consult your insurance carrier or call the provider to verify.