# SPIRIT PHYSICIAN SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Broad Street Family Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558506261
- **Authorized official:** GERALD B OSMAN (VICE PRESIDENT - COO)
- **Authorized official phone:** (717) 972-4480

## Contact information

- **Practice address:** 211 BROAD ST, MARYSVILLE, PA 17053-1302
- **Practice address phone:** (717) 957-3500
- **Practice address fax:** (717) 957-4069
- **Mailing address:** 211 BROAD ST, MARYSVILLE, PA 17053-1302
- **Mailing address phone:** (717) 957-3500
- **Mailing address fax:** (717) 957-4069

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/09/2008
- **Last updated:** 12/09/2008