St Josephs Internal Medicine Pc

LBN: St Josephs Internal Medicine Pc
St Josephs Internal Medicine Pc is an health care organization with primary practice located at 300 S Hickory St , Mt Carmel PA 17851. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. St Josephs Internal Medicine Pc can be contacted via phone (570) 339-2160, or through Gurba, Traci via phone (570) 339-2160.

Contact Information

Primary practice address
300 S Hickory St Mt Carmel PA 17851
Phone: (570) 339-2160
Fax: (570) 339-4193
Website:
Map and Directions
Authorized official contact:
Name: Gurba, Traci
Phone: (570) 339-2160

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1629057039
LBN Legal business name St Josephs Internal Medicine Pc
DBA Doing business as
Authorized official Gurba, Traci
Entity Organization
Organization subpart 1 No
Enumeration date Jan 13th, 2006
Last updated Nov 8th, 2011 - about 13 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 1629057039 NPPES
Pennsylvania MEDICAID MA01054599
Pennsylvania Other DA2400
Pennsylvania Other 02325000
Pennsylvania Other 402980

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