Sps-Peck Family Practice
LBN: Susquehanna Physician Services
Sps-Peck Family Practice is an health care organization with primary practice located at 904 Campbell St Suite 202, Williamsport PA 17701-3165. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Susquehanna Physician Services can be contacted via phone (570) 321-2290, or through Santangelo, Charles via phone (570) 321-3171.
Contact Information
Primary practice address
904 Campbell St Suite 202
Williamsport PA 17701-3165
Phone: (570) 321-2290
Fax: (570) 321-2289
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Addiction Medicine | 207QA0401X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
| NPI number | 1174570618 |
|---|---|
| LBN Legal business name | Susquehanna Physician Services |
| DBA Doing business as | Sps-Peck Family Practice |
| Authorized official | Santangelo, Charles |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 30th, 2006 |
| Last updated | Jul 29th, 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 | 1174570618 | NPPES |
| Pennsylvania | MEDICAID | 0017300760203 | |
| Pennsylvania | Other | 880749 |
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