| Penn State Healh Community Medical Group, Llc | |
|
1211 Forge Rd Carlisle PA 17013-3183 | |
| (717) 218-3990 | |
| (717) 218-3991 |
| Full Name | Penn State Healh Community Medical Group, Llc |
|---|---|
| Speciality | Emergency Medicine |
| Location | 1211 Forge Rd, Carlisle, Pennsylvania |
| Authorized Official Name and Position | Margaret Yuskovic (DELEGATED) |
| Authorized Official Contact | 6102088818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Penn State Healh Community Medical Group, Llc Po Box 848 Hershey PA 17033-0848 Ph: (610) 208-8818 | Penn State Healh Community Medical Group, Llc 1211 Forge Rd Carlisle PA 17013-3183 Ph: (717) 218-3990 |
| NPI Number | 1528714995 |
|---|---|
| Provider Enumeration Date | 02/24/2022 |
| Last Update Date | 05/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528714995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | (* (Not Available)) | Primary |
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