Cd East Family Health & Wellness Center
LBN: Cd East Family Health & Wellness Center Llc
Cd East Family Health & Wellness Center is an health care organization with primary practice located at 845 Sir Thomas Ct Suite 5, Harrisburg PA 17109-4840. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty.
Cd East Family Health & Wellness Center Llc can be contacted via phone (717) 695-3704, or through Mckinney-Bourne, Angelique via phone (717) 695-3704.
Contact Information
Primary practice address
845 Sir Thomas Ct Suite 5
Harrisburg PA 17109-4840
Phone: (717) 695-3704
Fax: (717) 695-7735
Website:
Authorized official contact:
Name: Mckinney-Bourne, Angelique Doctor of Medicine (MD)
Phone: (717) 695-3704
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | MD418042 | Pennsylvania |
Profile Details
| NPI number | 1710213236 |
|---|---|
| LBN Legal business name | Cd East Family Health & Wellness Center Llc |
| DBA Doing business as | Cd East Family Health & Wellness Center |
| Authorized official | Mckinney-Bourne, Angelique Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 19th, 2009 |
| Last updated | May 26th, 2010 - about 14 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 | 1710213236 | NPPES |
| Pennsylvania | Other | 1942306162 | OWNER PERSONAL NPI |
| Pennsylvania | MEDICAID | 01784747 | OWNER PERSONAL NPI |
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