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Organization

SUSQUEHANNA VENTURES, INC.

Active
Other names
Susquehanna Home Medical PO
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHARLES SANTANGELO (CFO)
(570) 320-7661
Entity
Organization

Contact information

Practice address
1201 GRAMPIAN BLVD, SUSQUEHANNA HOME MEDICAL PO, WILLIAMSPORT, PA 17701-1900
(570) 320-7660
(570) 320-7659
Mailing address
1201 GRAMPIAN BLVD, SUSQUEHANNA HOME MEDICAL PO, WILLIAMSPORT, PA 17701-1900
(570) 320-7660
(570) 320-7659

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
PP413352L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007515570011
PA
01
815788
BLUE CROSS FPH
PA
Enumeration date
03/05/2007
Last updated
08/22/2020
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