Provider Demographics
NPI:1831743574
Name:THE MILTON S HERSHEY MEDICAL CENTER PHYSCIAN GROUP
Entity type:Organization
Organization Name:THE MILTON S HERSHEY MEDICAL CENTER PHYSCIAN GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKENNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-531-3979
Mailing Address - Street 1:PO BOX 858
Mailing Address - Street 2:MCA410
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-0858
Mailing Address - Country:US
Mailing Address - Phone:800-243-1455
Mailing Address - Fax:
Practice Address - Street 1:500 UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-2360
Practice Address - Country:US
Practice Address - Phone:717-531-6886
Practice Address - Fax:717-531-3708
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE MILTON S HERSHEY MEDICAL CENTER - PHYSICIANS GROUP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-07-31
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty