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NPI Code Detail

MEDICARE: ERGENCY ASSOCIATES LLC

MEDICARE: ERGENCY ASSOCIATES 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
1261QU0200XUrgent Care Clinic/Center

General Provider Information

NPI Number : 1750513826
Entity Type Code : Organization
Provider Name (Legal Business Name) : ERGENCY ASSOCIATES LLC
Provider Business Mailing Address
First Line : 6481 CARLISLE PIKE
Second Line :
City : MECHANICSBURG
State : PA
Zip : 17050-2377
Country : US
Telephone Number : 717-796-9355
Fax Number :
Provider Business Practice Location Address
First Line : 6481 CARLISLE PIKE
Second Line :
City : MECHANICSBURG
State : PA
Zip : 17050-2377
Country : US
Telephone Number : 717-796-9355
Fax Number :
Authorized Official
Title or Position : OWNER, COO
Name : DR. MARLYS JEAN PIKE
Credential : MD
Telephone Number : 717-870-0572
Provider Enumeration Date : 08/21/2009
Last Update Date : 07/11/2013

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Directions to “ERGENCY ASSOCIATES LLC ” Practice Location

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