WELLSPAN MEDICAL GROUP NPI 1003229626

NPI Information

  • NPI: 1003229626
  • Provider Name: WELLSPAN MEDICAL GROUP
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • CLIA Number: 39D0978957
  • Address: 96 SOFIA DR STE 208
    SHREWSBURY, PA
    ZIP 17361
  • Phone: (717) 812-2400

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NPI Details

WELLSPAN MEDICAL GROUP is an urgent care clinic center in Shrewsbury, PA. WELLSPAN MEDICAL GROUP NPI is 1003229626. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

96 SOFIA DR STE 208
SHREWSBURY, PA
ZIP 17361-201
Phone: (717) 812-2400
Fax: (717) 812-3005

The provider's authorized official is Christina Vest .
The authorized official title is Credentialing Supervisor and has the following contact phone number (717) 851-1405.

The CLIA number assigned to this NPI record is 39D0978957 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/11/2014 and was last updated on 1/19/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2261QU0200XClinic/CenterUrgent CareYes
3363L00000XNurse PractitionerNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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