Pequea Valley Internal Medicine, Inc.

LBN: Pequea Valley Internal Medicine, Inc.
Pequea Valley Internal Medicine, Inc. is an health care organization with primary practice located at 1725 Oregon Pike Suite 107 B, Lancaster PA 17601-4206. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Pequea Valley Internal Medicine, Inc. can be contacted via phone (717) 560-3505, or through Lacorte, Jessica R via phone (717) 560-3505.

Contact Information

Primary practice address
1725 Oregon Pike Suite 107 B Lancaster PA 17601-4206
Phone: (717) 560-3505
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lacorte, Jessica R Registered Nurse (RN)
Phone: (717) 560-3505

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X

Profile Details

NPI number 1831253467
LBN Legal business name Pequea Valley Internal Medicine, Inc.
DBA Doing business as
Authorized official Lacorte, Jessica R Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2006
Last updated Dec 28th, 2007 - about 17 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 1831253467 NPPES
Pennsylvania Other DC7495 RR MCR
Pennsylvania Other 1646737 RR MCR
Pennsylvania Other 50041137 RR MCR
Pennsylvania MEDICAID 0016560860002 RR MCR

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