Sps-Wagner

LBN: Susquehanna Physician Services
Sps-Wagner is an health care organization with primary practice located at 531 Broad St , Montoursville PA 17754-2338. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Susquehanna Physician Services can be contacted via phone (570) 368-2235, or through Santangelo, Charles via phone (570) 321-3171.

Contact Information

Primary practice address
531 Broad St Montoursville PA 17754-2338
Phone: (570) 368-2235
Fax: (570) 368-3932
Website:
Map and Directions
Authorized official contact:
Name: Santangelo, Charles
Phone: (570) 321-3171

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1700805850
LBN Legal business name Susquehanna Physician Services
DBA Doing business as Sps-Wagner
Authorized official Santangelo, Charles
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1700805850 NPPES
Pennsylvania Other 880690 HIGHMARK BLUE SHIELD

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