<Unavail>
LBN: Susquehanna Physician Services
<Unavail> is an health care organization with primary practice located at 1100 Grampian Blvd , Williamsport PA 17701-1909. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty.
Susquehanna Physician Services can be contacted via phone (570) 326-8200, or through Davis, Melissa via phone (570) 320-7696.
Contact Information
Primary practice address
1100 Grampian Blvd
Williamsport PA 17701-1909
Phone: (570) 326-8200
Fax: (570) 320-7540
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X |
Profile Details
| NPI number | 1326078536 |
|---|---|
| LBN Legal business name | Susquehanna Physician Services |
| DBA Doing business as | <Unavail> |
| Authorized official | Davis, Melissa |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Oct 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326078536 | NPPES |
| Pennsylvania | Other | 1429584 | HIGHMARK BLUE SHIELD |
| Pennsylvania | MEDICAID | 0017300760197 | HIGHMARK BLUE SHIELD |
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