# EVANGELICAL MEDICAL SERVICES ORGANIZATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WellSpan Anesthesiology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205206943
- **Authorized official:** KENDRA A AUCKER (SENIOR VICE PRESIDENT/PRESIDENT)
- **Authorized official phone:** (570) 522-2501

## Contact information

- **Practice address:** 1 HOSPITAL DR, LEWISBURG, PA 17837-9350
- **Practice address phone:** (570) 522-2000
- **Practice address fax:** (570) 768-3911
- **Mailing address:** 1 HOSPITAL DR, SUITE 306, LEWISBURG, PA 17837-9350
- **Mailing address phone:** (570) 522-4110
- **Mailing address fax:** (570) 768-3911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | PA | — |
| 207L00000X | Anesthesiology Physician | — | PA | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | PA | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | PA | — |

## Other

- **Enumeration date:** 10/06/2015
- **Last updated:** 09/09/2024