Organization
MEMORIAL HOSPITAL
Active
Other names
Memorial Hospital Anesthesia Group
Organization subpart
No
Provider details
NPI number
Authorized official
SALLY DIXON (CEO)
(717) 849-5331
Entity
Organization
Contact information
Practice address
325 S BELMONT ST, YORK, PA 17403-2608
(717) 849-5331
Mailing address
PO BOX 8823, LANCASTER, PA 17604-8823
(717) 263-5562
(717) 263-1566
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
PA
367500000X
Certified Registered Nurse Anesthetist
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007293960026
—
PA
Enumeration date
08/03/2005
Last updated
10/15/2010
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