Penn State Health Community Medical Group, Llc | |
503 N 21st St Camp Hill PA 17011-2204 | |
(717) 972-7919 | |
(717) 763-2272 |
Full Name | Penn State Health Community Medical Group, Llc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 503 N 21st St, Camp Hill, Pennsylvania |
Authorized Official Name and Position | Margaret Yuskovic (DELEGATED) |
Authorized Official Contact | 6102088818 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Penn State Health Community Medical Group, Llc Po Box 848 Hershey PA 17033-0848 Ph: (610) 208-8818 | Penn State Health Community Medical Group, Llc 503 N 21st St Camp Hill PA 17011-2204 Ph: (717) 972-7919 |
NPI Number | 1225783871 |
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Provider Enumeration Date | 02/12/2022 |
Last Update Date | 10/12/2022 |
Certification Date | 10/12/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225783871 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Secondary |
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