| Organization Name: | PRIMARY CARE ASSOCIATES OF CARLISLE |
| NPI Number: | 1063661585 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LISA C MYERS (MEMBER) |
| Mailing Address: | 850 Walnut Bottom Rd Suite 305 Carlisle |
| State: | PA US |
| Postal Code: | 170133632 |
| Phone Number: | 7179600052 |
| Fax Number: | 7179600055 |
| NPI Enumeration Date: | 09/09/2008 |
| NPI Last Update Date: | 03/18/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 0S009023L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |