# MCSHERRYSTOWN FAMILY PRACTICE PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568400406
- **Authorized official:** DR. RUSSELL C HESS D.O. (PRESIDENT)
- **Authorized official phone:** (717) 637-4188

## Contact information

- **Practice address:** 70 ACADEMY ST, MC SHERRYSTOWN, PA 17344-2116
- **Practice address phone:** (717) 637-4188
- **Practice address fax:** (717) 637-7803
- **Mailing address:** 70 ACADEMY ST, MC SHERRYSTOWN, PA 17344-2116
- **Mailing address phone:** (717) 637-4188
- **Mailing address fax:** (717) 637-7803

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/03/2006
- **Last updated:** 05/10/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1243569 | — | PA |
| 05 | — | 1596587 | — | PA |
| 01 | — | 582297 | MEDICARE LEGACY NUMBER | PA |