Susquehanna Health Medical Group
LBN: Susquehanna Physician Services
Susquehanna Health Medical Group is an health care organization with primary practice located at 900 Plaza Dr , Montoursville PA 17754-2448. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Susquehanna Physician Services can be contacted via phone (570) 368-8621, or through Davis, Melissa via phone (570) 320-7696.
Contact Information
Primary practice address
900 Plaza Dr
Montoursville PA 17754-2448
Phone: (570) 368-8621
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X |
Profile Details
NPI number | 1023065885 |
---|---|
LBN Legal business name | Susquehanna Physician Services |
DBA Doing business as | Susquehanna Health Medical Group |
Authorized official | Davis, Melissa |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | May 27th, 2006 |
Last updated | Oct 20th, 2015 - about 9 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 | 1023065885 | NPPES |
Pennsylvania | Other | 887917 | HIGHMARK BLUE SHIELD |
Pennsylvania | MEDICAID | 0017300760178 | HIGHMARK BLUE SHIELD |
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