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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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