| Penn State Hershey Medical Group -palmyra | |
|
941 Park Dr Palmyra PA 17078-3445 | |
| (800) 243-1455 | |
| Not Available |
| Full Name | Penn State Hershey Medical Group -palmyra |
|---|---|
| Speciality | Family Medicine |
| Location | 941 Park Dr, Palmyra, Pennsylvania |
| Authorized Official Name and Position | Steve Massini (CFO) |
| Authorized Official Contact | 7175318405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Penn State Hershey Medical Group -palmyra Po Box 858 Mc A410 Hershey PA 17033-0858 Ph: (717) 531-1159 | Penn State Hershey Medical Group -palmyra 941 Park Dr Palmyra PA 17078-3445 Ph: (800) 243-1455 |
| NPI Number | 1225003841 |
|---|---|
| Provider Enumeration Date | 02/17/2006 |
| Last Update Date | 04/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225003841 | NPI | - | NPPES |
| 1007452910076 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Lebanon Valley Family Medicine, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1400 S Forge Rd, Palmyra, PA 17078 Phone: 717-838-1301 | |
Ideal Wellness Family Practice, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 Leon Ave, Palmyra, PA 17078 Phone: 717-256-1820 |