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 Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty.
Susquehanna Physician Services can be contacted via phone (570) 320-7525, or through Davis, Melissa via phone (570) 320-7696.
Contact Information
Primary practice address
1100 Grampian Blvd
Williamsport PA 17701-1909
Phone: (570) 320-7525
Fax: (570) 320-7484
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | ||
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X |
Profile Details
| NPI number | 1871512921 |
|---|---|
| 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 19th, 2006 |
| Last updated | Nov 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871512921 | NPPES |
| Pennsylvania | MEDICAID | 0017300760150 | |
| Pennsylvania | Other | 220564 | |
| Pennsylvania | Other | 806756 |
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