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Contact Information

BELVEDERE MEDICAL CORPORATION
850 WALNUT BOTTOM ROAD
STE 302
CARLISLE, PA17013-3698
 Phone: 717-258-5150
 Fax: 717-258-3392
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for BELVEDERE MEDICAL CORPORATION

NPI Number 1013926757
LBN Legal business name BELVEDERE MEDICAL CORPORATION
Authorized official GEORGE BRANSCUM - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/05/2006
Last updated 11/02/2007 - About 19 years ago
Identifiers
PA Medicaid 0006561610001
PA Other 02313200 CAP BLUE CROSS
PA Other 827814 HIGHMARK BLUE SHIELD
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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