| Queen Street Family Practice Pc | |
|
2471 S Queen St York PA 17402-4947 | |
| (717) 741-3888 | |
| (717) 741-3709 |
| Full Name | Queen Street Family Practice Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2471 S Queen St, York, Pennsylvania |
| Authorized Official Name and Position | Kenneth Robert Higgins (PRESIDENT) |
| Authorized Official Contact | 7177413888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Queen Street Family Practice Pc 2471 S Queen St York PA 17402-4947 Ph: (717) 741-3888 | Queen Street Family Practice Pc 2471 S Queen St York PA 17402-4947 Ph: (717) 741-3888 |
| NPI Number | 1487627857 |
|---|---|
| Provider Enumeration Date | 02/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487627857 | NPI | - | NPPES |
| 02739200 | Other | PA | CAPITOL BLUE CROSS |
| L0472628 | Other | PA | PA BLUE SHIELD |
| 0010615660001 | Medicaid | PA | |
| 4I4T2629 | Other | PA | PA BLUE SHIELD |
| 0010615750001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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