Glenn Ave Family Practice

LBN: Bloomsburg Physicians Services
Glenn Ave Family Practice is an health care organization with primary practice located at 410 Glenn Ave Suite 303, Bloomsburg PA 17815-1419. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Bloomsburg Physicians Services can be contacted via phone (570) 387-2166, or through Hollister, Kristin A via phone (570) 387-2166.

Contact Information

Primary practice address
410 Glenn Ave Suite 303 Bloomsburg PA 17815-1419
Phone: (570) 387-2166
Fax: (570) 387-2316
Website:
Map and Directions
Authorized official contact:
Name: Hollister, Kristin A
Phone: (570) 387-2166

Health care specialties

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

Profile Details

NPI number 1588869515
LBN Legal business name Bloomsburg Physicians Services
DBA Doing business as Glenn Ave Family Practice
Authorized official Hollister, Kristin A
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588869515 NPPES
Pennsylvania Other 50065262 CBC
Pennsylvania Other 91151C336 CBC
Pennsylvania Other 1388085 CBC

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