Saint Catherine Physician Services PCP of Pennsylvania

Organization Active NPI Family Medicine Physician · Ringtown, PA

NPI 1649305293 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1649305293
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
SAINT CATHERINE PHYSICIAN SERVICES PCP OF PENNSYLVANIA
Practice address
411 Shenandoah Rd
Ringtown, PA 17967-9432
Phone
(570) 889-3103
NPI assigned
Feb 23, 2007
Organization subpart
No

Authorized official

Name
Craig Hoover
Title
Ceo
Phone
(570) 875-2000

Corporate family (same tax ID) 1

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

National Provider Directory

Tax ID family
Ashland Ortopedics (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

411 Shenandoah Rd
Ringtown, PA 17967-9432

Mailing address

101 Broad St
Ashland, PA 17921-2147
Phone (570) 875-6815

Other identifiers

IdentifierTypeStateIssuer
50064687OtherPACAPITAL BLUE CROSS

Other providers in Ringtown, PA

All providers in Ringtown, PA · Family Medicine Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.