Provider Demographics
NPI:1033135785
Name:BACHMAN-SHUTE PC
Entity Type:Organization
Organization Name:BACHMAN-SHUTE PC
Other - Org Name:MEADOWVIEW FAMILY PRACTICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BACHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:717-637-2228
Mailing Address - Street 1:460 CLOVER LN
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:PA
Mailing Address - Zip Code:17331-9242
Mailing Address - Country:US
Mailing Address - Phone:717-637-2228
Mailing Address - Fax:717-637-2245
Practice Address - Street 1:460 CLOVER LN
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:PA
Practice Address - Zip Code:17331-9242
Practice Address - Country:US
Practice Address - Phone:717-637-2228
Practice Address - Fax:717-637-2245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-14
Last Update Date:2009-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD032337E261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA085848Medicare UPIN