Memorial Enterprises Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS005214L Issued in PA

Legal business name

MEMORIAL ENTERPRISES INC

Doing business as

Memorial Primary Care Network

Practice address

72 N Main St
Stewartstown, PA 17363-4153

Phone

(717) 993-2543

Fax

(717) 993-9258

NPI assigned

Jan 5, 2007

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 Finance and Coding

Phone

(717) 815-2557

Specialties & licenses 1

Addresses

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": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1598812992",
    "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": "72 N MAIN ST",
            "city": "STEWARTSTOWN",
            "state": "PA",
            "postal_code": "173634153",
            "telephone_number": "717-993-2543",
            "fax_number": "717-993-9258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "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 FINANCE AND CODING",
        "authorized_official_telephone_number": "717-815-2557",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS005214L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Primary Care Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Stewartstown, PA
• Providers in Stewartstown, 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.