Bloomsburg Physician Services Gen Surg
LBN: Bloomsburg Physician Services
Bloomsburg Physician Services Gen Surg is an health care organization with primary practice located at 410 Glenn Ave Suite 203, Bloomsburg PA 17815-1200. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty.
Bloomsburg Physician Services can be contacted via phone (570) 387-2339, or through Devito, Joseph via phone (570) 387-2148.
Contact Information
Primary practice address
410 Glenn Ave Suite 203
Bloomsburg PA 17815-1200
Phone: (570) 387-2339
Fax: (570) 387-2487
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X |
Profile Details
| NPI number | 1770790974 |
|---|---|
| LBN Legal business name | Bloomsburg Physician Services |
| DBA Doing business as | Bloomsburg Physician Services Gen Surg |
| Authorized official | Devito, Joseph |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770790974 | NPPES |
| Pennsylvania | Other | 50052731 | CBC NUMBER |
| Pennsylvania | MEDICAID | 0014107290004 | CBC NUMBER |
| Pennsylvania | Other | 739865 | CBC NUMBER |
| Pennsylvania | Other | 8807 | CBC NUMBER |
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