Organization
REHABCLINICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TARVIN (VICE PRESIDENT)
(717) 972-1100
Entity
Organization
Contact information
Practice address
2301 COLUMBIA AVE, LANCASTER, PA 17603-4154
(717) 972-1100
Mailing address
4714 GETTYSBURG RD, LEGAL DEPARTMENT, MECHANICSBURG, PA 17055-4325
(717) 972-1100
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
825312000
INDEP BLUE CROSS KEYSTONE
PA
Enumeration date
07/05/2007
Last updated
08/31/2010
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