Memorial Enterprises Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS010093L Issued in PA

Legal business name

MEMORIAL ENTERPRISES INC

Doing business as

Memorial Primary Care Network

Practice address

4314 N George Street Ext
Manchester, PA 17345-1307

Phone

(717) 266-0252

Fax

(717) 266-6908

NPI assigned

Oct 25, 2006

Last updated

May 19, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Linda A Neubauer, CPC

Title

MGR of Finance and Coding

Phone

(717) 815-2557

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Memorial Primary Care Network Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1093899775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 6TH AVE",
            "address_2": "SUITE 4",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174032620",
            "telephone_number": "717-815-2557",
            "fax_number": "717-854-1434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4314 N GEORGE STREET EXT",
            "city": "MANCHESTER",
            "state": "PA",
            "postal_code": "173451307",
            "telephone_number": "717-266-0252",
            "fax_number": "717-266-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "NEUBAUER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MGR OF FINANCE AND CODING",
        "authorized_official_telephone_number": "717-815-2557",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS010093L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01808034",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Primary Care Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Manchester, PA
• Providers in Manchester, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.