Healthcare Provider Details

I. General information

NPI: 1770546285
Provider Name (Legal Business Name): GSH URGENT CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2006
Last Update Date: 08/07/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

956 ISABEL DR
LEBANON PA
17042-7482
US

IV. Provider business mailing address

956 ISABEL DR
LEBANON PA
17042-7482
US

V. Phone/Fax

Practice location:
  • Phone: 717-270-5677
  • Fax: 717-274-1858
Mailing address:
  • Phone: 717-270-5677
  • Fax: 717-274-1858

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. WILLIAM HENDRICK
Title or Position: SR VICE PRESIDENT AND COO
Credential:
Phone: 717-270-7762