| Penn State Health Community Medical Group, Llc | |
|
5 S Centre Ave Leesport PA 19533 | |
| (610) 926-5707 | |
| (610) 926-8352 |
| Full Name | Penn State Health Community Medical Group, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5 S Centre Ave, Leesport, Pennsylvania |
| Authorized Official Name and Position | Stephen Massini (EXECUTIVE VICE PRESIDENT, CFO) |
| Authorized Official Contact | 7175316614 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Penn State Health Community Medical Group, Llc 90 Hope Dr Hershey PA 17033-2036 Ph: (717) 531-1159 | Penn State Health Community Medical Group, Llc 5 S Centre Ave Leesport PA 19533 Ph: (610) 926-5707 |
| NPI Number | 1952897738 |
|---|---|
| Provider Enumeration Date | 07/05/2018 |
| Last Update Date | 08/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952897738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
St Luke's Physician Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Cherry St Ste 200, Leesport, PA 19533 Phone: 484-526-4000 | |
Schuylkill Valley Family Practice Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 S Centre Avenue, Leesport, PA 19533 Phone: 610-926-5707 Fax: 610-926-8352 | |
Heim Staff Physicians, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1011 Berk Rd, Leesport, PA 19533 Phone: 610-376-4841 | |
American Current Care P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 James Dr, Leesport, PA 19533 Phone: 999-999-9999 Fax: 999-999-9999 |