Susquehanna Health Medical Group

LBN: Susquehanna Physician Services
Susquehanna Health Medical Group is an health care organization with primary practice located at 1205 Grampian Blvd Suite 3C, Williamsport PA 17701-1970. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Medical. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Susquehanna Physician Services can be contacted via phone (570) 320-7800, or through Davis, Melissa via phone (570) 320-7696.

Contact Information

Primary practice address
1205 Grampian Blvd Suite 3C Williamsport PA 17701-1970
Phone: (570) 320-7800
Fax: (570) 320-7801
Website:
Map and Directions
Authorized official contact:
Name: Davis, Melissa
Phone: (570) 320-7696

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1316975881
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 Jun 30th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1316975881 NPPES
Pennsylvania Other 880365 HIGHMARK BLUE SHIELD
Pennsylvania MEDICAID 0017300760158 HIGHMARK BLUE SHIELD

Popular Providers