MEDICARE: CALEB EDMONDS

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	207P00000X	Emergency Medicine Physician	MT219028	PA

General Provider Information

NPI Number	:	1952961070
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CALEB EDMONDS

Provider Business Mailing Address
First Line	:	601 MEMORY LN
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-2231
Country	:	US
Telephone Number	:	717-851-1405
Fax Number	:

Provider Business Practice Location Address
First Line	:	1201 LETORT SPRINGS WAY
Second Line	:
City	:	CARLISLE
State	:	PA
Zip	:	17015-8011
Country	:	US
Telephone Number	:	717-674-7600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2019
Last Update Date	:	03/05/2026

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Directions to “ CALEB EDMONDS ” Practice Location

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