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NORTHERN LANCASTER COUNTY MEDICAL GROUP NPI 1184888778


NPI Information

NPI: 1184888778
Provider Name: NORTHERN LANCASTER COUNTY MEDICAL GROUP

Doing Business As: WELLSPAN FAMILY MEDICINE-GRANITE RUN

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
264 GRANITE RUN DR
LANCASTER, PA
ZIP 17601
Phone: (717) 721-8205
Get Directions

NORTHERN LANCASTER COUNTY MEDICAL GROUP is a family medicine in Lancaster, 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 1184888778. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Wellspan Family Medicine-granite Run.

The provider's business location address is:

264 GRANITE RUN DR
LANCASTER, PA
ZIP 17601-804
Phone: (717) 721-8205
Fax: (717) 721-8251

The provider's authorized official is Charles David Noll .
The authorized official title is Vice President and has the following contact phone number (717) 859-5161.

The enumeration date for this NPI number is 7/14/2008 and was last updated on 10/15/2015.


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 MedicineMD032838LPENNSYLVANIAYes

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
11013977730021MEDICAIDPENNSYLVANIA
2092914MEDICARE PIN

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: 11/14/2023

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