Organization
PEDIATRIC ACUTE CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNDA BRUNO (PRACTICE ADMINISTRATOR)
(717) 791-2680
Entity
Organization
Contact information
Practice address
2025 TECHNOLOGY PKWY, STE 108, MECHANICSBURG, PA 17050-9400
(717) 791-2818
Mailing address
25 W SHORE DR, CAMP HILL, PA 17011-7718
(717) 791-2818
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02567200
CAIC GROUP NUMBER
PA
01
—
434574
HIGHMARK GROUP NUMBER
PA
Enumeration date
04/07/2006
Last updated
08/22/2020
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