MEDICARE: CARLISLE HMA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	273Y00000X	Rehabilitation Hospital Unit	35801	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1494	OTHER	PA	BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396783247
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARLISLE HMA LLC

Provider Business Mailing Address
First Line	:	PO BOX 281442
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30384-1442
Country	:	US
Telephone Number	:	717-960-3520
Fax Number	:

Provider Business Practice Location Address
First Line	:	361 ALEXANDER SPRING RD
Second Line	:
City	:	CARLISLE
State	:	PA
Zip	:	17015-9129
Country	:	US
Telephone Number	:	717-960-3520
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR/DELEGATED OFFICIAL
Name	:	PAULA M LALOR
Credential	:
Telephone Number	:	615-465-7466

Provider Enumeration Date	:	06/03/2006
Last Update Date	:	08/29/2017

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