Organization
GREEN HILLS FAMILY HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY LEGG GORBA DO (PHYSICIAN PRESIDENT)
(610) 530-9155
Entity
Organization
Contact information
Practice address
1150 GLENLIVET DRIVE, SUITE A17, ALLENTOWN, PA 18106
(610) 530-9155
(610) 530-4495
Mailing address
1150 GLENLIVET DRIVE, SUITE A17, ALLENTOWN, PA 18106
(610) 530-9155
(610) 530-4495
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080195420
PALMETTO GBA
—
01
—
1464675
HIGHMARK BLUE SHIELD
—
01
—
50011842
CAPITAL BLUE CROSS
PA
01
—
F87264
UPIN
—
Enumeration date
04/10/2006
Last updated
08/04/2010
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