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Contact Information

ACTIVE INTEGRATED MEDICAL CENTERS PC
555 E CHOCOLATE AVE STE 201
HERSHEY, PA17033-1334
 Phone: 717-298-6342
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ACTIVE INTEGRATED MEDICAL CENTERS PC

NPI Number 1154907335
LBN Legal business name ACTIVE INTEGRATED MEDICAL CENTERS PC
Authorized official CHARLES DURR - (AUTHORIZED OFFICIAL)
Entity Organization
Organization subpart 1 No
Enumeration date 03/19/2021
Last updated 03/19/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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