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Organization
MILLCREEK COMMUNITY HOSPITAL
Active
Organization
MILLCREEK COMMUNITY HOSPITAL
Active
Parent organization
MILLCREEK COMMUNITY HOSPITAL
Other names
Shoreline Primary Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
MILLCREEK COMMUNITY HOSPITAL
Authorized official
JEAN NEJMAN (CREDENTIALING SPECIALIST)
(814) 868-2507
Entity
Organization
Contact information
Practice address
2820 W 12TH ST, ERIE, PA 16505-4204
(814) 833-8800
(814) 833-2079
Mailing address
1 LECOM PL, ERIE, PA 16505-2571
(814) 868-2507
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
09/11/2023
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