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NORTHERN LANCASTER COUNTY MEDICAL GROUP NPI 1073547733


NPI Information

NPI: 1073547733
Provider Name: NORTHERN LANCASTER COUNTY MEDICAL GROUP

Doing Business As: WELLSPAN FAMILY MEDICINE - TROUT RUN

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
808 PLEASANTVIEW DR
EPHRATA, PA
ZIP 17522
Phone: (717) 733-9090
Get Directions

NORTHERN LANCASTER COUNTY MEDICAL GROUP is a family medicine in Ephrata, PA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NORTHERN LANCASTER COUNTY MEDICAL GROUP NPI is 1073547733. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Wellspan Family Medicine - Trout Run.

The provider's business location address is:

808 PLEASANTVIEW DR
EPHRATA, PA
ZIP 17522-644
Phone: (717) 733-9090
Fax: (717) 733-8982

The provider's authorized official is Charles David Noll .
The authorized official title is Vice President and has the following contact phone number (717) 851-5161.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 5/28/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11746358OTHERPENNSYLVANIABLUE SHIELD
2092914MEDICARE PINPENNSYLVANIA
3DD6938OTHERPENNSYLVANIARAILROAD MEDICARE
41013977730013MEDICAIDPENNSYLVANIA

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.