GAUDENZIA FULTON OUTPATIENT
NPI 1225495609
Clinic/Center in Mc Connellsburg, PA

Q: What is Gaudenzia's NPI number?

The NPI number for Gaudenzia is 1225495609. It was assigned to this organization in the NPPES registry on January 15, 2016. The provider is also known as Gaudenzia Fulton Outpatient.

Q: What is Gaudenzia'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 Gaudenzia was last updated on May 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 January 15, 2016CLIA 39D2230914 · Waiver

201 LINCOLN WAY W, MC CONNELLSBURG, PA 17233(717) 325-4855(717) 325-0444 Get Directions Write a Review

NPPES record last updated: May 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 8, 2021, Jan 15, 2016 (2 updates tracked since 2016).

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About Gaudenzia Fulton Outpatient NPPES

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

GAUDENZIA FULTON OUTPATIENT (NPI 1225495609) is a healthcare organization registered as a clinic/center in Mc Connellsburg, Pennsylvania and active in the NPI registry since January 2016. The organization holds a CLIA Waiver certificate valid through July 28, 2027 and lists Mike Williams, Sr. Contracting Manager, as its authorized official.

NPPES Registry Identity

NPI1225495609

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameGAUDENZIA

Location Address201 LINCOLN WAY WMc Connellsburg, PA 17233-1319

Mailing Address106 W Main StNorristown, PA 19401-4716 · (610) 239-9600 · Fax (610) 275-7025

Phone(717) 325-4855

Fax(717) 325-0444

Organization SubpartNo

Authorized OfficialMike WilliamsSr. Contracting Manager · (484) 338-3731

Enumeration DateJanuary 15, 2016

Last NPPES UpdateMay 8, 20212 updates tracked since enumeration

NPPES CertifiedMay 8, 2021

✔ NPI 1225495609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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).

201 LINCOLN WAY W, Mc Connellsburg, PA 17233

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Other Names 1

Other NameGaudenzia Fulton Outpatient

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2230914

Gaudenzia Coal Township · Coal Township, PA

Active · expires Jul 28, 2027

CLIA Number39D2230914

Laboratory TypePractitioner Other

Certificate Effective DateJuly 29, 2025

Certificate Expiration DateJuly 28, 2027

Laboratory DirectorDr. John W. Stefovic

Laboratory Phone(717) 325-4855

Laboratory LocationGaudenzia Coal Township2000 Northwestern Drive, Coal Township, PA 17866

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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's NPI number?

The NPI number for Gaudenzia is 1225495609. It was assigned to this organization in the NPPES registry on January 15, 2016. The provider is also known as Gaudenzia Fulton Outpatient.

Where is Gaudenzia located?

Gaudenzia is located at 201 Lincoln Way W, Mc Connellsburg, PA 17233. The listed phone number is (717) 325-4855.

What is Gaudenzia's specialty?

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

Does Gaudenzia hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2230914) is associated with this NPI, valid through July 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gaudenzia accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Gaudenzia as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gaudenzia was last updated on May 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.