Provider Demographics
NPI:1730488164
Name:HARRISBURG AREA COMMUNITY COLLEGE
Entity Type:Organization
Organization Name:HARRISBURG AREA COMMUNITY COLLEGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTAL HYGIENE PROGRAM DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:TRAAEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-221-1733
Mailing Address - Street 1:1 HACC DR # SM104C
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110-2903
Mailing Address - Country:US
Mailing Address - Phone:717-221-1733
Mailing Address - Fax:717-780-1170
Practice Address - Street 1:1 HACC DR # SM104C
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-2903
Practice Address - Country:US
Practice Address - Phone:717-221-1733
Practice Address - Fax:717-780-1170
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-24
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental