Organization
EVANGELICAL MEDICAL SERVICES ORGANIZATION
Active
Other names
WellSpan Laboratory Services, EMSO Pathology Group
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA A AUCKER (SENIOR VICE PRESIDENT/PRESIDENT)
(570) 522-2807
Entity
Organization
Contact information
Practice address
1 HOSPITAL DR, LEWISBURG, PA 17837-9350
(570) 522-4110
(570) 768-3911
Mailing address
1 HOSPITAL DR, SUITE 306, LEWISBURG, PA 17837-9350
(570) 522-4110
(570) 768-3911
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
—
PA
207ZP0101X
Anatomic Pathology Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001881627
HIGHMARK BLUE SHIELD
PA
01
—
02533600
CAPITAL BLUE CROSS
PA
05
—
1007498260054
—
PA
01
—
29496
HEALTH AMERICA
PA
01
—
725334
GEISINGER
PA
Enumeration date
09/25/2006
Last updated
09/09/2024
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