Susquehanna Ventures, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

PP413352L Issued in PA

Legal business name

SUSQUEHANNA VENTURES, INC.

Practice address

1201 Grampian Blvd
Susquehanna Home Medical PO
Williamsport, PA 17701-1900

Phone

(570) 320-7660

Fax

(570) 320-7659

NPI assigned

Mar 5, 2007

Last updated

Aug 22, 2020By 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

Mr. Charles Santangelo

Title

Cfo

Phone

(570) 320-7661

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Susquehanna Home Medical PO Other name

Tax ID family

Susquehanna Health Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Susquehanna Health Pharmacy

  • Community/Retail Pharmacy
  • Williamsport, PA
  • NPI 1316131881
  NPD tax ID

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861521627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 GRAMPIAN BLVD",
            "address_2": "SUSQUEHANNA HOME MEDICAL PO",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011900",
            "telephone_number": "570-320-7660",
            "fax_number": "570-320-7659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 GRAMPIAN BLVD",
            "address_2": "SUSQUEHANNA HOME MEDICAL PO",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177011900",
            "telephone_number": "570-320-7660",
            "fax_number": "570-320-7659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSQUEHANNA VENTURES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANTANGELO",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "570-320-7661",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "PA",
            "license": "PP413352L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS FPH",
            "identifier": "815788",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007515570011",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Susquehanna Home Medical PO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Susquehanna Physician Services (Susquehanna Health Medical Group)
• Susquehanna Physician Services (Susquehanna Health Medical Group)
• Susquehanna Urologic Associates LTD
• Susquehanna Valley Vein Center, LLC
• Susquehanna Ventures, Inc. (Susquehanna Home Medical)
• Arlie Swailes
• Sara Swain, DO
• Kathryn N Swatkowski, CNM
• Lauren Marie Swavely, COTA/L
• Logan Sweger, PHARM D

• Prosthetic/Orthotic Supplier in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Prosthetic/Orthotic Supplier in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.