Provider Demographics
NPI:1821500620
Name:CITY OF YORK BUREAU OF HEALTH
Entity Type:Organization
Organization Name:CITY OF YORK BUREAU OF HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PERSONAL HEALTH SERVICES SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:KRUGER
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:717-849-2293
Mailing Address - Street 1:435 W PHILADELPHIA ST
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17401-3340
Mailing Address - Country:US
Mailing Address - Phone:717-849-2299
Mailing Address - Fax:717-843-5605
Practice Address - Street 1:435 W PHILADELPHIA ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17401-3340
Practice Address - Country:US
Practice Address - Phone:717-849-2299
Practice Address - Fax:717-843-5605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-02
Last Update Date:2017-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN2630932083P0901X
PAMD070102L261QP0905X
PARN523115L364SC1501X
PARN213552L364SC1501X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or LocalGroup - Single Specialty
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Single Specialty
No364SC1501XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistCommunity Health/Public HealthGroup - Single Specialty