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PENN STATE HEALTH COMMUNITY MEDICAL GROUP LLC NPI 1891394441


NPI Information

NPI: 1891394441
Provider Name: PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 39D0657304

Address:
1800 CENTER ST STE 1A110
CAMP HILL, PA
ZIP 17011
Phone: (717) 775-5093
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PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC is a family medicine in Camp Hill, PA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PENN STATE HEALTH COMMUNITY MEDICAL GROUP, LLC NPI is 1891394441. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1800 CENTER ST STE 1A110
CAMP HILL, PA
ZIP 17011-702
Phone: (717) 775-5093
Fax: (717) 775-5094

The provider's authorized official is Paula Tinch .
The authorized official title is Cfo and has the following contact phone number (585) 922-1223.

The CLIA number assigned to this NPI record is 39D0657304 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/23/2020 and was last updated on 10/23/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225100000XPhysical TherapistNo
2207Q00000XFamily MedicineYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.