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Contact Information

GLADE RUN LUTHERAN SERVICES
70 BEAVER ROAD
ZELIENOPLE, PA16063-0070
 Phone: 724-452-4453
 Fax: 724-452-6576
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
Indicates primary specialty

NPI Profile & details for GLADE RUN LUTHERAN SERVICES

NPI # 1215074562
LBN Legal business name GLADE RUN LUTHERAN SERVICES
Authorized official CHARLES LOCKWOOD - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/30/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
PA Medicaid 100754254-0022
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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