Provider Demographics
NPI:1184064560
Name:UNION HALL MEDICAL ASSOCIATES INC.
Entity type:Organization
Organization Name:UNION HALL MEDICAL ASSOCIATES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:S
Authorized Official - Last Name:KAUFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-991-3964
Mailing Address - Street 1:100 S HIGH ST
Mailing Address - Street 2:
Mailing Address - City:NEWVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17241-1409
Mailing Address - Country:US
Mailing Address - Phone:717-776-3114
Mailing Address - Fax:717-776-5020
Practice Address - Street 1:110 UNION HALL RD
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-8391
Practice Address - Country:US
Practice Address - Phone:717-991-3964
Practice Address - Fax:717-918-5782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-28
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD044856L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DU7297OtherMEDICARE RAILROAD
PA1028877230001Medicaid
PAP00421678OtherRAILROAD MEDICARE
PA00012532330003Medicaid
PA1028877230001Medicaid
PA00012532330003Medicaid