Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gaudenzia Inc

Organization Clinic/Center · NPI 1104058338

Gaudenzia Inc is a Clinic/Center in Pottsville, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2009.

Licensed in
PA
In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1 S 2nd St 4th Fl
Pottsville, PA 17901-3174
Phone: (570) 622-6485
Fax: (570) 622-2422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 547027 (PA)

Record details

NPI number1104058338
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mike Williams — Sr. Contracting Manager · (484) 338-3731
Other names Gaudenzia Pottsville Outpatient; Gaudenzia Pottsville Outpatient
NPI enumeratedAugust 21, 2009
Last updated in NPPESFebruary 24, 2022
Certification dateFebruary 24, 2022
Mailing address106 W Main St, Norristown, PA 19401-4716

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