| Penn State Health Community Medical Group, Llc | |
|
1800 Center St Ste 1a110 Camp Hill PA 17011-1702 | |
| (717) 775-5093 | |
| (717) 775-5094 |
| Full Name | Penn State Health Community Medical Group, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1800 Center St Ste 1a110, Camp Hill, Pennsylvania |
| Authorized Official Name and Position | Paula Tinch (CFO) |
| Authorized Official Contact | 5859221223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Penn State Health Community Medical Group, Llc 100 Crystal A Dr Hershey PA 17033-9524 Ph: (717) 531-1159 | Penn State Health Community Medical Group, Llc 1800 Center St Ste 1a110 Camp Hill PA 17011-1702 Ph: (717) 775-5093 |
| NPI Number | 1891394441 |
|---|---|
| Provider Enumeration Date | 10/23/2020 |
| Last Update Date | 10/23/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891394441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
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