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Organization

EVANGELICAL MEDICAL SERVICES ORGANIZATION

Active
Other names
EMSO Lewisburg Lab
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KENDRA A. AUCKER (VICE PRESIDENT)
(570) 522-2807
Entity
Organization

Contact information

Practice address
55 N 5TH ST, LEWISBURG, PA 17837-1407
(570) 523-3350
(570) 522-0404
Mailing address
130 HOSPITAL DR, LEWISBURG, PA 17837-9315
(570) 522-4134
(570) 522-4120

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
19822-C3AH
GEISINGER HEALTH PLAN
PA
01
2745719000
PERSONAL CHOICE
PA
01
50062067
CAPITAL BLUE CROSS
PA
01
CA5965
RAILROAD MEDICARE
PA
Enumeration date
12/10/2007
Last updated
04/20/2008
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