Provider Demographics
NPI:1407393556
Name:MESSIAH COLLEGE
Entity Type:Organization
Organization Name:MESSIAH COLLEGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HNES CHAIR
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:RAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:717-766-2511
Mailing Address - Street 1:1 COLLEGE AVE
Mailing Address - Street 2:SUITE 4501
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-6805
Mailing Address - Country:US
Mailing Address - Phone:717-766-2511
Mailing Address - Fax:717-691-2310
Practice Address - Street 1:1 COLLEGE AVE
Practice Address - Street 2:SUITE 4501
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-6805
Practice Address - Country:US
Practice Address - Phone:717-766-2511
Practice Address - Fax:717-691-2310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-27
Last Update Date:2017-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART000090A261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation