Provider Demographics
NPI:1639196405
Name:OXFORD MEDICAL CENTER
Entity Type:Organization
Organization Name:OXFORD MEDICAL CENTER
Other - Org Name:RED ROSE FAMILY PHYSICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:J
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:717-394-8908
Mailing Address - Street 1:955 E KING ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17602-3223
Mailing Address - Country:US
Mailing Address - Phone:717-394-8908
Mailing Address - Fax:717-207-0400
Practice Address - Street 1:955 E KING ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17602-3223
Practice Address - Country:US
Practice Address - Phone:717-394-8908
Practice Address - Fax:717-207-0400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007537940003Medicaid
PA063172Medicare ID - Type Unspecified