Healthcare Provider Details

I. General information

NPI: 1790892388
Provider Name (Legal Business Name): SAFE HARBOR WELLNESS CENTER PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2660 W 8TH ST
ERIE PA
16505-4021
US

IV. Provider business mailing address

2660 WEST 8TH STREET
ERIE PA
16505-4021
US

V. Phone/Fax

Practice location:
  • Phone: 814-838-3401
  • Fax: 814-838-3401
Mailing address:
  • Phone: 814-838-3401
  • Fax: 814-838-4601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License NumberOS002198L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberOS002198L
License Number StatePA

VIII. Authorized Official

Name: DR. ARTHUR C SCHENCK
Title or Position: PRESIDENT
Credential: D.O.
Phone: 814-838-3401