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Contact Information

INDEPENDENCE CORPORATION
3090 N SUSQUEHANNA TRAIL RD
SHAMOKIN DAM, PA17876
 Phone: 570-743-3937
 Fax: 570-743-3005
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for INDEPENDENCE CORPORATION

NPI Number 1407098908
LBN Legal business name INDEPENDENCE CORPORATION
Authorized official LISA PAUSINGER - (INS AR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/30/2009
Last updated 03/06/2012 - About 14 years ago
Identifiers
PA Medicaid 0018518950002
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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