Susquehanna Health Medical Group

LBN: Susquehanna Physician Services
Susquehanna Health Medical Group is an health care organization with primary practice located at 1100 Grampian Blvd , Williamsport PA 17701-1909. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is the primary health care specialty. Susquehanna Physician Services can be contacted via phone (570) 320-7691, or through Davis, Melissa via phone (570) 320-7696.

Contact Information

Primary practice address
1100 Grampian Blvd Williamsport PA 17701-1909
Phone: (570) 320-7691
Fax: (570) 320-7898
Website:
Map and Directions
Authorized official contact:
Name: Davis, Melissa
Phone: (570) 320-7696

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X

Profile Details

NPI number 1083655542
LBN Legal business name Susquehanna Physician Services
DBA Doing business as Susquehanna Health Medical Group
Authorized official Davis, Melissa
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2006
Last updated Oct 22nd, 2015 - about 11 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 1083655542 NPPES
Pennsylvania Other 1860453 HIGHMARK BLUE SHIELD
Pennsylvania MEDICAID 0017300760179 HIGHMARK BLUE SHIELD

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