| Schuylkill Health System Medical Group, Inc. | |
|
200 Schuylkill Medical Plz Pottsville PA 17901-3660 | |
| (570) 621-9200 | |
| (570) 621-9201 |
| Full Name | Schuylkill Health System Medical Group, Inc. |
|---|---|
| Speciality | Emergency Medicine |
| Location | 200 Schuylkill Medical Plz, Pottsville, Pennsylvania |
| Authorized Official Name and Position | James Demopoulos (SR VP & COO LVPG) |
| Authorized Official Contact | 4848623333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Schuylkill Health System Medical Group, Inc. Po Box 783311 Philadelphia PA 19178-3311 Ph: (484) 884-4500 | Schuylkill Health System Medical Group, Inc. 200 Schuylkill Medical Plz Pottsville PA 17901-3660 Ph: (570) 621-9200 |
| NPI Number | 1063073823 |
|---|---|
| Provider Enumeration Date | 06/24/2019 |
| Last Update Date | 08/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063073823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | (* (Not Available)) | Primary |
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