WELLSPAN PHILHAVEN
NPI 1174629463
Clinic/Center in Lebanon, PA

Q: What is Philhaven's NPI number?

The NPI number for Philhaven is 1174629463. It was assigned to this organization in the NPPES registry on September 15, 2006. The provider is doing business as Wellspan Philhaven. The provider is also known as WellSpan Philhaven Partial Hospital.

Q: What is Philhaven's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Philhaven was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since September 15, 2006

283 S BUTLER RD, LEBANON, PA 17042(717) 270-2405 Get Directions Write a Review

NPPES record last updated: June 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2024, Sep 28, 2022, Jul 5, 2022 and 9 more (12 updates tracked since 2016).

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About Wellspan Philhaven NPPES

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

WELLSPAN PHILHAVEN (NPI 1174629463) is a healthcare organization registered as a clinic/center in Lebanon, Pennsylvania and active in the NPI registry since September 2006. The organization maintains 2 additional practice locations and lists Mantha Kotsalos, Vp & President Philhaven, as its authorized official.

NPPES Registry Identity

NPI1174629463

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NamePHILHAVEN

Location Address283 S BUTLER RDLebanon, PA 17042-8939

Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405

Phone(717) 270-2405

Organization SubpartNo

Authorized OfficialMantha KotsalosVp & President Philhaven · (717) 270-2423

Enumeration DateSeptember 15, 2006

Last NPPES UpdateJune 5, 202412 updates tracked since enumeration

NPPES CertifiedJune 5, 2024

✔ NPI 1174629463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

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 ListedPublic Health or WelfareTaxonomy 251K00000X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X

Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X

283 S BUTLER RD, Lebanon, PA 17042

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Other Names 2

Doing Business AsWellspan Philhaven

Other NameWellspan Philhaven Partial Hospital

Secondary Practice Locations 2

Location 1780 Eden RdLancaster, PA 17601-4275 · Phone (717) 735-7770

Location 21407 Williams RdYork, PA 17402-9000 · Phone (717) 845-2482

Other Identifiers 4

Medicaid1007720000054PA

Medicaid1007720000145PA

Medicaid1007720000115PA

Medicaid1007720000037PA

Other Providers at the Same Location NPPES 20

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

MRS. ALINA N GLAZUNOVA CRNP

Nurse Practitioner