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Contact Information

ST JOSEPHS INTERNAL MEDICINE PC
300 S HICKORY ST
MOUNT CARMEL, PA17851
 Phone: 570-339-2160
 Fax: 570-339-4193
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ST JOSEPHS INTERNAL MEDICINE PC

NPI Number 1629057039
LBN Legal business name ST JOSEPHS INTERNAL MEDICINE PC
Authorized official TRACI GURBA - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/13/2006
Last updated 11/08/2011 - About 15 years ago
Identifiers
PA Medicaid MA01054599
PA Other 02325000 BLUE CROSS
PA Other 402980 BLUE SHIELD
PA Other DA2400 RAILROAD MEDICARE
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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