Organization Name: | SUMMIT PHYSICIAN SERVICES |
NPI Number: | 1043620933 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LISSA N. SHOWE (SENIOR VP FOR PHYSICIAN PRACTICES) |
Mailing Address: | 46 Walnut Bottom Rd Suite 100 Shippensburg |
State: | PA US |
Postal Code: | 172578219 |
Phone Number: | 7175324148 |
Fax Number: | 7175323561 |
NPI Enumeration Date: | 05/01/2014 |
NPI Last Update Date: | 02/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |