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 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Allopathic & Osteopathic Physicians / Vascular Surgery, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine is the primary health care specialty. Susquehanna Physician Services can be contacted via phone (570) 326-8550, or through Davis, Melissa via phone (570) 320-7696.

Contact Information

Primary practice address
1100 Grampian Blvd Williamsport PA 17701-1909
Phone: (570) 326-8550
Fax: (570) 326-8551
Website:
Map and Directions
Authorized official contact:
Name: Davis, Melissa
Phone: (570) 320-7696

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X

Profile Details

NPI number 1992722524
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 17th, 2006
Last updated Sep 28th, 2015 - about 9 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 1992722524 NPPES
Pennsylvania Other 1580634 HIGHMARK BLUE SHIELD
Pennsylvania MEDICAID 0017300760199 HIGHMARK BLUE SHIELD

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