| Susquehanna Physician Services | |
|
699 Rural Ave Suite 306 Williamsport PA 17701-3246 | |
| (570) 321-3228 | |
| (570) 321-3238 |
| Full Name | Susquehanna Physician Services |
|---|---|
| Speciality | Internal Medicine |
| Location | 699 Rural Ave, Williamsport, Pennsylvania |
| Authorized Official Name and Position | Charles Santangelo (EXECUTIVE VP CFO) |
| Authorized Official Contact | 5703213171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susquehanna Physician Services 1201 Grampian Blvd Po Box 3127 Williamsport PA 17701-0127 Ph: () - | Susquehanna Physician Services 699 Rural Ave Suite 306 Williamsport PA 17701-3246 Ph: (570) 321-3228 |
| NPI Number | 1346428174 |
|---|---|
| Provider Enumeration Date | 02/04/2008 |
| Last Update Date | 12/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346428174 | NPI | - | NPPES |
| 2010019 | Other | PA | HIGHMARK BLUE SHIELD |
| 0017300760166 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Divine Providence Hospital Of The Sisters Of Christian Charity Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 471 Hepburn St, Williamsport, PA 17701 Phone: 570-567-5400 Fax: 570-326-8601 | |
Crossroads Counseling, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 501 East Third Street, Williamsport, PA 17701 Phone: 570-323-7535 Fax: 570-323-3790 | |
White Deer Run Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 W 4th St, Williamsport, PA 17701 Phone: 570-322-4836 Fax: 570-322-4769 | |
Susquehanna Physician Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1100 Grampian Blvd, Williamsport, PA 17701 Phone: 570-320-7691 Fax: 570-320-7898 | |
Open Arms Internal Medicine & Pediatrics, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3155 Lycoming Creek Rd, Williamsport, PA 17701 Phone: 570-244-1877 | |
Samuel E Schrack, D.o., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 W 4th St, Suite 1a, Williamsport, PA 17701 Phone: 570-327-9110 Fax: 570-327-1181 | |
Susquehanna Physician Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1100 Grampian Blvd, Williamsport, PA 17701 Phone: 570-320-7848 Fax: 570-320-7856 |