| West Shore Family Practice Pc | |
|
6375 Mercury Dr Mechanicsburg PA 17050 | |
| (717) 620-2500 | |
| (717) 620-2511 |
| Full Name | West Shore Family Practice Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 6375 Mercury Dr, Mechanicsburg, Pennsylvania |
| Authorized Official Name and Position | Richard C Harker (PRESIDENT) |
| Authorized Official Contact | 7176202500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Shore Family Practice Pc 6375 Mercury Dr Mechanicsburg PA 17050 Ph: (717) 620-2500 | West Shore Family Practice Pc 6375 Mercury Dr Mechanicsburg PA 17050 Ph: (717) 620-2500 |
| NPI Number | 1326113945 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 03/23/2023 |
| Medicare PECOS PAC ID | 7618957713 |
|---|---|
| Medicare Enrollment ID | O20040721000045 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326113945 | NPI | - | NPPES |
| 0018454400001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Richard C Harker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780670885 PECOS PAC ID: 8325028426 Enrollment ID: I20100921000621 |
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