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Contact Information

PEDIATRIC SERVICES OF AMERICA, LLC
2805 OLD POST RD STE 210
HARRISBURG, PA17110
 Phone: 717-540-1051
 Fax: 717-540-3804
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for PEDIATRIC SERVICES OF AMERICA, LLC

NPI Number 1235168725
LBN Legal business name PEDIATRIC SERVICES OF AMERICA, LLC
Authorized official MATTHEW BUCKHALTER - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/30/2006
Last updated 01/27/2025 - More than a year ago
Identifiers
PA License # 760505
PA Medicaid 10007962 0056
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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