Memorial Enterprises Inc
Organization Active NPI Family Medicine Physician · Stewartstown, PA
NPI 1598812992 · NPPES record last updated May 19, 2008
Key facts
- NPI
- 1598812992
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- OS005214L (PA)
- Legal business name
- MEMORIAL ENTERPRISES INC
- Practice address
- 72 N Main St
Stewartstown, PA 17363-4153 - Phone
- (717) 993-2543
- Fax
- (717) 993-9258
- NPI assigned
- Jan 5, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Linda A Neubauer, CPC
- Title
- MGR Finance and Coding
- Phone
- (717) 815-2557
National Provider Directory
Locations
1420 6th Ave
Ste 4
York, PA 17403
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | OS005214L | PA | Yes |
Addresses
Primary practice location
72 N Main St
Stewartstown, PA 17363-4153
Mailing address
1420 6TH Ave
Suite 4
York, PA 17403-2620
Phone (717) 815-2557
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00863283 | Medicaid | PA | |
| 01090970 | Medicaid | PA |
Other names
- Memorial Primary Care Network
Other providers in Stewartstown, PA
- Shantae L Leone
- Lewis Podiatry
- Sherri J Linthicum
- Megha Maheshwari
- Mason Dixon Behavior & Learning Services LLC
- Alyx Nicole Miller
- Joseph Adam Miller III
- Kathy Ann Minnick
- David Wesley Moellman
- Optimal Spine Inc
All providers in Stewartstown, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.