| Penn State Hershey Medical Group-park Avenue | |
|
1850 E Park Ave Suite 312 State College PA 16803-6706 | |
| (800) 243-1455 | |
| Not Available |
| Full Name | Penn State Hershey Medical Group-park Avenue |
|---|---|
| Speciality | Family Medicine |
| Location | 1850 E Park Ave, State College, 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-park Avenue Po Box 858 Mc A410 Hershey PA 17033-0858 Ph: (717) 531-1159 | Penn State Hershey Medical Group-park Avenue 1850 E Park Ave Suite 312 State College PA 16803-6706 Ph: (800) 243-1455 |
| NPI Number | 1457326712 |
|---|---|
| Provider Enumeration Date | 02/21/2006 |
| Last Update Date | 04/29/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457326712 | NPI | - | NPPES |
| 1007452910085 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
State College Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2188 Sandy Dr., Suite A, State College, PA 16803 Phone: 814-278-1977 Fax: 814-272-0070 | |
Guillard Internal Medicine Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 905 University Dr, Suite 1, State College, PA 16801 Phone: 814-237-3122 Fax: 814-237-4050 | |
Geisinger Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Scenery Dr, State College, PA 16801 Phone: 814-231-4560 | |
Mount Nittany Center For Wound Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Radnor Rd, State College, PA 16801 Phone: 814-231-7868 Fax: 814-238-4169 | |
Healthy Valley Chiropractic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 403 S Allen St, State College, PA 16801 Phone: 814-771-0931 | |
Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1850 E Park Ave, Suite 201, State College, PA 16803 Phone: 814-234-8800 Fax: 814-234-8068 | |
Jeffrey H Baker, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 724 S Atherton St, Suite 200, State College, PA 16801 Phone: 814-867-0717 Fax: 814-867-0464 |