Organization
SUSQUEHANNA VENTURES, INC.
Active
Other names
Susquehanna Home Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA A MCGEE MSN (ADMINISTRATIVE DIRECTOR)
(570) 326-8920
Entity
Organization
Contact information
Practice address
1201 GRAMPIAN BLVD, DME SUITE, WILLIAMSPORT, PA 17701-1900
(570) 320-7660
(570) 320-7659
Mailing address
1201 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1900
(570) 320-7661
(570) 320-7667
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PP413352L
PA
3336C0004X
Compounding Pharmacy
PP413352L
PA
3336H0001X
Home Infusion Therapy Pharmacy
PP413352L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007515570011
—
PA
01
—
208869
HLTH AMERICA / HLTH ASSUR
PA
01
—
238081
ACCESS CARE II BLUE CROSS
PA
01
—
3039097
AETNA
PA
01
—
3956351
NCPDP
PA
01
—
815786
FIRST PRIORITY HEALTH
PA
01
—
998036
BLUE CROSS TRAD.
PA
Enumeration date
05/27/2006
Last updated
03/28/2011
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