# MILLCREEK COMMUNITY HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MILLCREEK COMMUNITY HOSPITAL
- **Other names:** LECOM Health Southeast Family Practice
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1952297467
- **Legal business name:** MILLCREEK COMMUNITY HOSPITAL
- **Authorized official:** JEAN NEJMAN (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (814) 868-2507

## Contact information

- **Practice address:** 1306 E 38TH ST, ERIE, PA 16504-3018
- **Practice address phone:** (814) 825-7440
- **Practice address fax:** (814) 825-7622
- **Mailing address:** 5515 PEACH ST, ERIE, PA 16509-2603
- **Mailing address phone:** (814) 864-4031
- **Mailing address fax:** (814) 868-7778

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | — |

## Other

- **Enumeration date:** 06/13/2025
- **Last updated:** 07/14/2025