WELLSPAN MEDICAL GROUP NPI 1164097861

NPI Information

  • NPI: 1164097861
  • Provider Name: WELLSPAN MEDICAL GROUP
  • Classification: Emergency Medicine - 207PE0004X
  • Specialization: Emergency Medical Services
  • Entity Type: Organization
  • Address: 252 S 4TH ST
    LEBANON, PA
    ZIP 17042
  • Phone: (717) 851-1405

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NPI Details

WELLSPAN MEDICAL GROUP is an emergency medical services emergency medicine in Lebanon, PA. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. WELLSPAN MEDICAL GROUP NPI is 1164097861. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

252 S 4TH ST
LEBANON, PA
ZIP 17042-111
Phone: (717) 851-1405
Fax: (717) 851-6969

The provider's authorized official is Laura Frank .
The authorized official title is Credentialing Manager and has the following contact phone number (717) 851-6832.

The enumeration date for this NPI number is 5/25/2021 and was last updated on 5/25/2021.

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
1207PE0004XEmergency MedicineEmergency Medical ServicesYes

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: 11/21/2025

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