Provider Demographics
NPI:1174852586
Name:MERCERSBURG ACADEMY HEALTH CENTER
Entity Type:Organization
Organization Name:MERCERSBURG ACADEMY HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTH CENTER DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:RITA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARONE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:717-328-6136
Mailing Address - Street 1:300 E SEMINARY ST
Mailing Address - Street 2:
Mailing Address - City:MERCERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17236-1550
Mailing Address - Country:US
Mailing Address - Phone:717-328-6136
Mailing Address - Fax:717-328-6214
Practice Address - Street 1:300 E SEMINARY ST
Practice Address - Street 2:
Practice Address - City:MERCERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17236-1550
Practice Address - Country:US
Practice Address - Phone:717-328-6136
Practice Address - Fax:717-328-6214
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MERCERSBURG ACADEMY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-12-14
Last Update Date:2009-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP009557363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsGroup - Multi-Specialty