Provider Demographics
NPI:1255626529
Name:HAVERFORD COLLEGE HEALTH SERVICES
Entity type:Organization
Organization Name:HAVERFORD COLLEGE HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARBAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:610-896-1089
Mailing Address - Street 1:370 LANCASTER AVENUE
Mailing Address - Street 2:
Mailing Address - City:HAVERFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19041
Mailing Address - Country:US
Mailing Address - Phone:610-896-1089
Mailing Address - Fax:215-230-7599
Practice Address - Street 1:370 LANCASTER AVENUE
Practice Address - Street 2:
Practice Address - City:HAVERFORD
Practice Address - State:PA
Practice Address - Zip Code:19041
Practice Address - Country:US
Practice Address - Phone:610-896-1089
Practice Address - Fax:215-230-7599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-15
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA163WC1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WC1400XNursing Service ProvidersRegistered NurseCollege HealthGroup - Multi-Specialty