Organization
COMMUNITY FAMILY HEALTH CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN MANN (BILLING COORDINATOR)
(717) 272-5395
Entity
Organization
Contact information
Practice address
405 CUMBERLAND ST, LEBANON, PA 17042-5371
(717) 272-7321
Mailing address
PO BOX 779, LEBANON, PA 17042-0779
(717) 272-5395
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02613400
CAPITAL BLUE CROSS
—
05
—
1007741120001
—
PA
Enumeration date
07/19/2006
Last updated
01/12/2010
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