# THE MILTON S. HERSHEY MEDICAL CENTER PHYSICIAN GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MSHMC Licensed Social Worker
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336386408
- **Authorized official:** DONALD MCKENNA (PRESIDENT)
- **Authorized official phone:** (717) 531-3979

## Contact information

- **Practice address:** 22 NORTHEAST DR, HERSHEY, PA 17033-2732
- **Practice address phone:** (800) 243-1455
- **Mailing address:** PO BOX 858, HERSHEY, PA 17033-0858
- **Mailing address phone:** (800) 243-1455

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | 05029 | PA | Yes |

## Other

- **Enumeration date:** 01/12/2009
- **Last updated:** 01/21/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 05029 | DEPT OF HEALTH FACILITY LICENSE NUMBER | PA |