NPIMap

Organization Active NPI

Spirit Physician Services, Inc.

Doing business as Broad Street Family Health Center

  • Nurse Practitioner
  • Marysville, PA
National Provider Identifier
1558506261
Registry record updated Dec 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
SPIRIT PHYSICIAN SERVICES, INC.
Doing business as
Broad Street Family Health Center
Practice address
211 Broad St
Marysville, PA 17053-1302
Phone
(717) 957-3500
Fax
(717) 957-4069
NPI assigned
Dec 9, 2008
Last updated
Dec 9, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2008

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

Authorized official

Name
Gerald B Osman
Title
Vice President - Coo
Phone
(717) 972-4480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU Primary

Addresses

Primary practice location

211 Broad St
Marysville, PA 17053-1302

Mailing address

211 Broad St
Marysville, PA 17053-1302
Phone (717) 957-3500

Other names 1

  • Broad Street Family Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Spirit Physician Services Inc21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1558506261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 BROAD ST",
            "city": "MARYSVILLE",
            "state": "PA",
            "postal_code": "170531302",
            "telephone_number": "717-957-3500",
            "fax_number": "717-957-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 BROAD ST",
            "city": "MARYSVILLE",
            "state": "PA",
            "postal_code": "170531302",
            "telephone_number": "717-957-3500",
            "fax_number": "717-957-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRIT PHYSICIAN SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "OSMAN",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "VICE PRESIDENT - COO",
        "authorized_official_telephone_number": "717-972-4480"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broad Street Family Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marysville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.