| |
3065 Windsor Rd Red Lion PA 17356-8533 | |
(717) 851-1700 | |
(717) 851-1710 |
Full Name | |
---|---|
Speciality | Internal Medicine |
Location | 3065 Windsor Rd, Red Lion, Pennsylvania |
Authorized Official Name and Position | Christina Vest (CREDENTIALING SUPERVISOR) |
Authorized Official Contact | 7178511405 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
1803 Mount Rose Ave Suite B3 York PA 17403-3051 Ph: (717) 851-1405 | 3065 Windsor Rd Red Lion PA 17356-8533 Ph: (717) 851-1700 |
NPI Number | 1093882144 |
---|---|
Provider Enumeration Date | 11/30/2006 |
Last Update Date | 01/11/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093882144 | NPI | - | NPPES |
S1EU | Other | PA | GEISINGER |
0068508002 | Other | PA | AMERIHEALTH 65 PA |
4624959 | Other | PA | AETNA |
KX54 | Other | MD | CAREFIRST MD BCBS |
111191 | Other | PA | HIGHMARK BLUE SHIELD |
1142361 | Other | PA | AMERIHEALTH MERCY |
800174 | Other | PA | JOHN HOPKINS |
02301800 | Other | PA | CAPITAL BLUE CROSS |
1007721360093 | Medicaid | PA | |
CA3246 | Other | PA | RAILROAD MEDICARE |
1519310 | Other | PA | GATEWAY |
82238 | Other | PA | UNISON |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |