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505 Historic Dr Strasburg PA 17579-1479 | |
| (717) 687-0313 | |
| (717) 687-3604 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 505 Historic Dr, Strasburg, Pennsylvania |
| Authorized Official Name and Position | Denise A Kennedy (VP FINANCIAL SERVICES) |
| Authorized Official Contact | 7175445010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
505 Historic Dr Strasburg PA 17579-1479 Ph: (717) 687-0313 | 505 Historic Dr Strasburg PA 17579-1479 Ph: (717) 687-0313 |
| NPI Number | 1316912785 |
|---|---|
| Provider Enumeration Date | 02/21/2006 |
| Last Update Date | 12/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316912785 | NPI | - | NPPES |
| S1QJ | Other | PA | GEISINGER HEALTH PLAN |
| 010606 | Other | PA | HIGHMARK BLUE SHIELD |
| 1518984 | Other | PA | GATEWAY HEALTH PLAN |
| 7653319 | Other | PA | AETNA NON-HMO |
| 2703425 | Other | PA | AETNA HMO |
| 530947 | Other | PA | AETNA CAP OFFICE# |
| 1007327490416 | Medicaid | PA | |
| CG7288 | Other | PA | RAILROAD MEDICARE |
| 7653319 | Other | PA | AETNA |
| 03129700 | Other | PA | CAPITAL BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207VX0000X | Obstetrics & Gynecology - Obstetrics | (* (Not Available)) | Secondary |