Susquehanna Valley Medical Specialties

LBN: Susquehanna Valley Medical Specialties
Susquehanna Valley Medical Specialties is an health care organization with primary practice located at 6850 Lows Rd , Bloomsburg PA 17815-8729. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Susquehanna Valley Medical Specialties can be contacted via phone (570) 784-7300, or through Williams, Mark S via phone (570) 784-7300.

Contact Information

Primary practice address
6850 Lows Rd Bloomsburg PA 17815-8729
Phone: (570) 784-7300
Fax: (570) 784-7331
Website:
Map and Directions
Authorized official contact:
Name: Williams, Mark S Doctor of Osteopathy (DO)
Phone: (570) 784-7300

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Pennsylvania

Profile Details

NPI number 1407873045
LBN Legal business name Susquehanna Valley Medical Specialties
DBA Doing business as
Authorized official Williams, Mark S Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2006
Last updated Oct 3rd, 2007 - about 19 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 1407873045 NPPES
Pennsylvania MEDICAID 0016824700001

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