Organization
FULTON COUNTY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY MEYERS (CREDENTIALING SPEC)
(717) 485-3155
Entity
Organization
Contact information
Practice address
214 PEACH ORCHARD RD, MC CONNELLSBURG, PA 17233-8559
(717) 485-3155
Mailing address
214 PEACH ORCHARD RD, MC CONNELLSBURG, PA 17233-8559
(717) 485-3155
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
061901
PA
261Q00000X
Clinic/Center
061901
PA
282NC0060X
Critical Access Hospital
Primary
061901
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0626
HIGHMARK-ACUTE-10/1/06
PA
01
—
0641
SWING BED- OCT 1, 06
PA
05
—
1007427630001
—
PA
05
—
1007427630002
—
PA
05
—
1007427630003
—
PA
05
—
1007427630011
—
PA
05
—
1007427630012
—
PA
05
—
1007427630014
—
PA
01
—
1525
HIGHMARK
PA
01
—
390209
CAPITAL BLUE CROSS
PA
Enumeration date
06/22/2005
Last updated
09/16/2022
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