Susquehanna Health Medical Group

LBN: Susquehanna Physician Services
Susquehanna Health Medical Group is an health care organization with primary practice located at 1100 Grampian Blvd , Williamsport PA 17701-1909. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty. Susquehanna Physician Services can be contacted via phone (570) 326-8200, or through Davis, Melissa via phone (570) 320-7696.

Contact Information

Primary practice address
1100 Grampian Blvd Williamsport PA 17701-1909
Phone: (570) 326-8200
Fax: (570) 320-7540
Website:
Map and Directions
Authorized official contact:
Name: Davis, Melissa
Phone: (570) 320-7696

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X

Profile Details

NPI number 1326078536
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 Jul 4th, 2006
Last updated Oct 21st, 2015 - about 10 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 1326078536 NPPES
Pennsylvania Other 1429584 HIGHMARK BLUE SHIELD
Pennsylvania MEDICAID 0017300760197 HIGHMARK BLUE SHIELD

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