Sps-Internal Med/Pediatrics
LBN: Susquehanna Physician Services
Sps-Internal Med/Pediatrics is an health care organization with primary practice located at 904 Campbell St , Williamsport PA 17701-3166. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Susquehanna Physician Services can be contacted via phone (570) 321-3110, or through Santangelo, Charles via phone (570) 321-3171.
Contact Information
Primary practice address
904 Campbell St
Williamsport PA 17701-3166
Phone: (570) 321-3110
Fax: (570) 321-3114
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X |
Profile Details
| NPI number | 1760414874 |
|---|---|
| LBN Legal business name | Susquehanna Physician Services |
| DBA Doing business as | Sps-Internal Med/Pediatrics |
| Authorized official | Santangelo, Charles |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 7th, 2006 |
| Last updated | May 20th, 2010 - about 15 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 | 1760414874 | NPPES |
| Pennsylvania | Other | 880783 | HIGHMARK BLUE SHIELD |
| Pennsylvania | MEDICAID | 0017300760195 | HIGHMARK BLUE SHIELD |
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