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Organization
WHITE ROSE FAMILY PRACTICE LLC
Active
Organization
WHITE ROSE FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY P CARPENTER IV M.D. (OWNER)
(717) 741-9462
Entity
Organization
Contact information
Practice address
80 WYNTRE BROOKE DR, YORK, PA 17403-4535
(717) 741-9462
(717) 741-4399
Mailing address
80 WYNTRE BROOKE DR, YORK, PA 17403-4535
(717) 741-9462
(717) 741-4399
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001873963
—
PA
01
—
02377500
CAPITAL BLUE CROSS
PA
01
—
136324
HEALTH AMERICA
PA
01
—
1520948
GATEWAY HEALTH PLAN
PA
01
—
2601158
AETNA
PA
01
—
371424
MAMSI
PA
01
—
606644
HIGHMARK BLUE SHIELD
PA
01
—
S183
GEISINGER HEALTH PLAN
PA
Enumeration date
05/10/2006
Last updated
07/21/2022
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