Organization
EVANGELICAL MEDICAL SERVICES ORGANIZATION
Active
Other names
WellSpan Emergency Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA A AUCKER (SENIOR VICE PRESIDENT/PRESIDENT)
(570) 522-2807
Entity
Organization
Contact information
Practice address
1 HOSPITAL DR, LEWISBURG, PA 17837-9314
(570) 522-4110
(570) 522-4120
Mailing address
1 HOSPITAL DR, LEWISBURG, PA 17837-9314
(570) 522-4110
(570) 522-4120
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1957577
HIGHMARK BLUE SHIELD
PA
01
—
3229300
CAPITAL BLUE CROSS
PA
Enumeration date
09/25/2006
Last updated
09/06/2024
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