Provider Demographics
NPI:1386088409
Name:PAROCHAIL MEDICAL CENTER
Entity type:Organization
Organization Name:PAROCHAIL MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIM
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIMMERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:717-556-0702
Mailing Address - Street 1:1065 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEW HOLLAND
Mailing Address - State:PA
Mailing Address - Zip Code:17557-9110
Mailing Address - Country:US
Mailing Address - Phone:717-556-0702
Mailing Address - Fax:717-556-0799
Practice Address - Street 1:1065 W MAIN ST
Practice Address - Street 2:
Practice Address - City:NEW HOLLAND
Practice Address - State:PA
Practice Address - Zip Code:17557-9110
Practice Address - Country:US
Practice Address - Phone:717-556-0702
Practice Address - Fax:717-556-0799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-19
Last Update Date:2013-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty