Sps-Internal Medicine West Fourth St
LBN: Susquehanna Physician Services
Sps-Internal Medicine West Fourth St is an health care organization with primary practice located at 699 Rural Ave Suite 306, Williamsport PA 17701-3246. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Susquehanna Physician Services can be contacted via phone (570) 321-3228, or through Santangelo, Charles via phone (570) 321-3171.
Contact Information
Primary practice address
699 Rural Ave Suite 306
Williamsport PA 17701-3246
Phone: (570) 321-3228
Fax: (570) 321-3238
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1346428174 |
|---|---|
| LBN Legal business name | Susquehanna Physician Services |
| DBA Doing business as | Sps-Internal Medicine West Fourth St |
| Authorized official | Santangelo, Charles |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 4th, 2008 |
| Last updated | Dec 15th, 2010 - about 16 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 | 1346428174 | NPPES |
| Pennsylvania | Other | 2010019 | HIGHMARK BLUE SHIELD |
| Pennsylvania | MEDICAID | 0017300760166 | HIGHMARK BLUE SHIELD |
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