Organization
THE MILTON S. HERSHEY MEDICAL CENTER
Active
Other names
Psychiatric Outpatient-Northeast Drive
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD MCKENNA (PRESIDENT)
(717) 531-3979
Entity
Organization
Contact information
Practice address
22 NORTHEAST DR, HERSHEY, PA 17033-2732
(800) 243-1455
Mailing address
PO BOX 856, MC A410, HERSHEY, PA 17033-0856
(717) 531-1159
(717) 531-7269
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
930190
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007653100039
—
PA
Enumeration date
01/30/2007
Last updated
01/21/2025
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