MEDICARE: THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP

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	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700851425
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP

Provider Business Mailing Address
First Line	:	PO BOX 858
Second Line	:	MCA410
City	:	HERSHEY
State	:	PA
Zip	:	17033-0858
Country	:	US
Telephone Number	:	717-531-1159
Fax Number	:	717-531-7269

Provider Business Practice Location Address
First Line	:	2626 N 3RD ST
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17110-2044
Country	:	US
Telephone Number	:	800-243-1455
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DONALD MCKENNA
Credential	:
Telephone Number	:	717-531-3979

Provider Enumeration Date	:	02/17/2006
Last Update Date	:	01/22/2025

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