| Springfield Sports Emergency Medical Corporation | |
|
166 Saxer Ave Springfield PA 19064-2335 | |
| (610) 328-7262 | |
| (610) 328-4440 |
| Full Name | Springfield Sports Emergency Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 166 Saxer Ave, Springfield, Pennsylvania |
| Authorized Official Name and Position | Robert Fong Sing (PRESIDENT) |
| Authorized Official Contact | 6103287262 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Springfield Sports Emergency Medical Corporation 166 Saxer Ave Springfield PA 19064-2335 Ph: (610) 328-7262 | Springfield Sports Emergency Medical Corporation 166 Saxer Ave Springfield PA 19064-2335 Ph: (610) 328-7262 |
| NPI Number | 1891860060 |
|---|---|
| Provider Enumeration Date | 11/22/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8426037045 |
|---|---|
| Medicare Enrollment ID | O20040716001042 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891860060 | NPI | - | NPPES |
| 0007120910012 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | OS004263L (Pennsylvania) | Primary |
| 207QS0010X | Family Medicine - Sports Medicine | OS012109 (Pennsylvania) | Secondary |
| Provider Name | Christopher A. Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922196724 PECOS PAC ID: 7810894169 Enrollment ID: I20120203000296 |
| Provider Name | Robert Fong Sing |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598853301 PECOS PAC ID: 8628092954 Enrollment ID: I20120221000453 |
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