Bloomsburg Physician Services Obgyn

LBN: Bloomsburg Physician Services
Bloomsburg Physician Services Obgyn is an health care organization with primary practice located at 410 Glenn Ave Suite 2, Bloomsburg PA 17815-1200. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Bloomsburg Physician Services can be contacted via phone (570) 387-2474, or through Devito, Joseph via phone (570) 387-2148.

Contact Information

Primary practice address
410 Glenn Ave Suite 2 Bloomsburg PA 17815-1200
Fax: (570) 387-2397
Website:
Authorized official contact:
Name: Devito, Joseph

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X

Profile Details

NPI number 1124236708
LBN Legal business name Bloomsburg Physician Services
DBA Doing business as Bloomsburg Physician Services Obgyn
Authorized official Devito, Joseph
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124236708 NPPES
Pennsylvania MEDICAID 1015090000002
Pennsylvania Other 94984
Pennsylvania Other 1388085
Pennsylvania Other 50052725
Pennsylvania Other 819545

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