NORTHERN LANCASTER COUNTY MEDICAL GROUP NPI 1215257050

NPI Information

  • NPI: 1215257050
  • Provider Name: NORTHERN LANCASTER COUNTY MEDICAL GROUP
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Doing Business As: WELLSPAN FAMILY & SPORTS MEDICINE-COCALICO
  • CLIA Number: 39D0907812
  • Address: 30 W. SWARTZVILLE ROAD
    SUITE 1
    REINHOLDS, PA
    ZIP 17569
  • Phone: (717) 484-4347

Map and Directions

Get Directions

NPI Details

NORTHERN LANCASTER COUNTY MEDICAL GROUP is a primary care clinic center in Reinholds, PA. NORTHERN LANCASTER COUNTY MEDICAL GROUP NPI is 1215257050. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wellspan Family & Sports Medicine-cocalico.

The provider's business location address is:

30 W. SWARTZVILLE ROAD
SUITE 1
REINHOLDS, PA
ZIP 17569
Phone: (717) 484-4347
Fax: (717) 484-0968

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 CLIA number assigned to this NPI record is 39D0907812 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/3/2010 and was last updated on 6/15/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2261QP2300XClinic/CenterPrimary CareYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1092914MEDICARE PIN
21013977730024MEDICAIDPENNSYLVANIA

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

NPI Synchronization or Removal

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.

Previous NPI
Next NPI