KING MEDICAL CARE INC. NPI 1942335237

NPI Information

  • NPI: 1942335237
  • Provider Name: KING MEDICAL CARE, INC.
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 3151 COLUMBIA BLVD
    SUITE 100
    BLOOMSBURG, PA
    ZIP 17815
  • Phone: (570) 784-0500

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NPI Details

KING MEDICAL CARE, INC. is a specialist in Bloomsburg, PA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. KING MEDICAL CARE, INC. NPI is 1942335237. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3151 COLUMBIA BLVD
SUITE 100
BLOOMSBURG, PA
ZIP 17815-889
Phone: (570) 784-0500
Fax: (570) 784-9563

The provider's authorized official is Doyle Wayne Averett .
The authorized official title is Office Manager and has the following contact phone number (570) 784-0500.

The enumeration date for this NPI number is 2/23/2007 and was last updated on 7/20/2007.

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
1174400000XSpecialistMD430599PENNSYLVANIANo
2174400000XSpecialistMD430581PENNSYLVANIAYes

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
11114960432OTHERNPI PETER SEIDENBERG
2I16503MEDICARE UPINILLINOIS
31841364890OTHERNPI JENNIFER SEIDENBERG
4K09793MEDICARE ID-TYPE UNSPECIFIEDILLINOISPETER H. SEIDENBERG

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: 11/21/2025

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