Back Mountain Pediatrics

LBN: Back Mountain Pediatrics
Back Mountain Pediatrics is an health care organization with primary practice located at 550 Memorial Highway , Dallas PA 18612. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Laboratories / Clinical Medical Laboratory. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Back Mountain Pediatrics can be contacted via phone (570) 675-7955, or through Greulick, Joan E via phone (570) 675-7955.

Contact Information

Primary practice address
550 Memorial Highway Dallas PA 18612
Phone: (570) 675-7955
Fax: (570) 675-7882
Website:
Map and Directions
Authorized official contact:
Name: Greulick, Joan E Doctor of Medicine (MD)
Phone: (570) 675-7955

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD024845E Pennsylvania
Laboratories / Clinical Medical Laboratory 291U00000X 022874 Pennsylvania

Profile Details

NPI number 1063621233
LBN Legal business name Back Mountain Pediatrics
DBA Doing business as
Authorized official Greulick, Joan E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2007
Last updated Aug 22nd, 2020 - about 5 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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