MEDICARE: BELLVIEW MEDICAL CLINIC

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	261QS1000X	Student Health Clinic/Center	MD 066835-L	PA

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	:	1932316486
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BELLVIEW MEDICAL CLINIC

Provider Business Mailing Address
First Line	:	1118 NORTH THIRD STREET
Second Line	:	SUITE 100, P.O. BOX 3631
City	:	HARRISBURG
State	:	PA
Zip	:	17105-3631
Country	:	US
Telephone Number	:	717-232-9555
Fax Number	:	717-232-9550

Provider Business Practice Location Address
First Line	:	1118 N 3RD ST
Second Line	:	SUITE 100
City	:	HARRISBURG
State	:	PA
Zip	:	17102-2008
Country	:	US
Telephone Number	:	717-232-9555
Fax Number	:	717-232-9550

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. JULIET J ASUZU
Credential	:	MD
Telephone Number	:	717-232-9555

Provider Enumeration Date	:	05/16/2007
Last Update Date	:	08/22/2020

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Directions to “BELLVIEW MEDICAL CLINIC ” Practice Location

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