Sps-Empire Family Medicine

LBN: Susquehanna Physician Services
Sps-Empire Family Medicine is an health care organization with primary practice located at 699 Rural Ave Suite 302, Williamsport PA 17701-3250. 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) 321-3772, or through Santangelo, Charles via phone (570) 321-3171.

Contact Information

Primary practice address
699 Rural Ave Suite 302 Williamsport PA 17701-3250
Phone: (570) 321-3772
Fax: (570) 321-3773
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 1871769760
LBN Legal business name Susquehanna Physician Services
DBA Doing business as Sps-Empire Family Medicine
Authorized official Santangelo, Charles
Entity Organization
Organization subpart 1 No
Enumeration date May 1st, 2008
Last updated May 21st, 2010 - about 14 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 1871769760 NPPES
Pennsylvania MEDICAID 0017300760188
Pennsylvania Other 2062154

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