NPIMap

Organization Active NPI

Bellview Medical Clinic

  • Student Health Clinic/Center
  • Harrisburg, PA
National Provider Identifier
1932316486
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
MD 066835-L Issued in PA
Legal business name
BELLVIEW MEDICAL CLINIC
Practice address
1118 N 3Rd St
Suite 100
Harrisburg, PA 17102-2008
Phone
(717) 232-9555
Fax
(717) 232-9550
NPI assigned
May 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Juliet J Asuzu, MD
Title
Physician
Phone
(717) 232-9555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X MD 066835-L PA Primary

Addresses

Primary practice location

1118 N 3Rd St
Suite 100
Harrisburg, PA 17102-2008

Mailing address

1118 North Third Street
Suite 100, P.O. Box 3631
Harrisburg, PA 17105-3631
Phone (717) 232-9555

Other identifiers 1

IdentifierTypeStateIssuer
01937022MedicaidPA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932316486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 NORTH THIRD STREET",
            "address_2": "SUITE 100, P.O. BOX 3631",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171053631",
            "telephone_number": "717-232-9555",
            "fax_number": "717-232-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 N 3RD ST",
            "address_2": "SUITE 100",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171022008",
            "telephone_number": "717-232-9555",
            "fax_number": "717-232-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLVIEW MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ASUZU",
        "authorized_official_first_name": "JULIET",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "717-232-9555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "PA",
            "license": "MD 066835-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01937022",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • 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.