SUMMIT PHYSICIAN SERVICES NPI 1043620933

NPI Information

NPI: 1043620933
Provider Name: SUMMIT PHYSICIAN SERVICES

Doing Business As: WELLSPAN URGENT CARE

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
46 WALNUT BOTTOM RD
SUITE 100
SHIPPENSBURG, PA
ZIP 17257
Phone: (717) 477-2764
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SUMMIT PHYSICIAN SERVICES is an urgent care clinic center in Shippensburg, PA. SUMMIT PHYSICIAN SERVICES NPI is 1043620933. The provider is registered as an organization entity type.
The provider Is Doing Business As Wellspan Urgent Care.

The provider's business location address is:

46 WALNUT BOTTOM RD
SUITE 100
SHIPPENSBURG, PA
ZIP 17257-219
Phone: (717) 477-2764
Fax: (717) 217-4207

The provider's authorized official is Lissa N. Hinckle .
The authorized official title is Senior Vp Of Physician Services and has the following contact phone number (717) 709-4764.

The enumeration date for this NPI number is 5/1/2014 and was last updated on 12/2/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1007307260061	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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