1003901364 NPI number — H.E.A.R., INC.

Table of content: (NPI 1003901364)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1003901364 NPI number — H.E.A.R., INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
H.E.A.R., INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
THE GATEHOUSE
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1003901364
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/31/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8 N QUEEN ST FL 5
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LANCASTER
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17603-3878
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-393-3215
Provider Business Mailing Address Fax Number:
717-285-5978

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
465 W MAIN ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MOUNTVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17554-1918
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-285-2300
Provider Business Practice Location Address Fax Number:
717-285-5978
Provider Enumeration Date:
10/04/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
GAGEBY
Authorized Official First Name:
LINDSEY
Authorized Official Middle Name:
ANN
Authorized Official Title or Position:
BILLING SPECIALIST
Authorized Official Telephone Number:
717-393-3215

Provider Taxonomy Codes

  • Taxonomy code: 324500000X , with the licence number:  367045 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 367099 . This is a "DDAP LICENSE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 100738608 0002 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 01619814 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 367045 . This is a "DEPT. OF HEALTH LICENSE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".