Healthcare Provider Details

I. General information

NPI: 1104088343
Provider Name (Legal Business Name): DICKINSON COLLEGE HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2008
Last Update Date: 07/01/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CHERRY & LOUTHER ST
CARLISLE PA
17013-2896
US

IV. Provider business mailing address

P O BOX 1773 28 N COLLEGE ST
CARLISLE PA
17013-2896
US

V. Phone/Fax

Practice location:
  • Phone: 717-245-1835
  • Fax: 717-245-1938
Mailing address:
  • Phone: 717-245-1835
  • Fax: 717-245-1938

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code261QS1000X
TaxonomyStudent Health Clinic/Center
License Number
License Number StatePA

VIII. Authorized Official

Name: MARY FRANCES ARTHUR
Title or Position: DIRECTOR HEALTH CENTER
Credential: RN CRNP
Phone: 717-245-1835