Organization
EVANGELICAL MEDICAL SERVICES ORGANIZATION
Active
Organization
EVANGELICAL MEDICAL SERVICES ORGANIZATION
Active
Parent organization
EVANGELICAL MEDICAL SERVICES ORGANIZATION
Other names
Behavioral Health of Evangelical
Organization subpart
Yes
Provider details
NPI number
Legal business name
EVANGELICAL MEDICAL SERVICES ORGANIZATION
Authorized official
MICHELE FINK (CREDENTIALING COORDINATOR)
(570) 522-4110
Entity
Organization
Contact information
Practice address
3 HOSPITAL DR STE 204, LEWISBURG, PA 17837-9394
(570) 524-6766
Mailing address
1 HOSPITAL DR STE 306, LEWISBURG, PA 17837-9350
(570) 522-4110
(570) 768-3911
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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