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Organization
SAINT CATHERINE PHYSICIAN SERVICES PCP OF PENNSYLVANIA
Active
Organization
SAINT CATHERINE PHYSICIAN SERVICES PCP OF PENNSYLVANIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG HOOVER (CEO)
(570) 875-2000
Entity
Organization
Contact information
Practice address
411 SHENANDOAH RD, RINGTOWN, PA 17967-9432
(570) 889-3103
Mailing address
101 BROAD ST, ASHLAND, PA 17921-2147
(570) 875-6815
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50064687
CAPITAL BLUE CROSS
PA
Enumeration date
02/23/2007
Last updated
08/22/2020
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