WELLSPAN MEDICAL GROUP NPI 1386894392

NPI Information

  • NPI: 1386894392
  • Provider Name: WELLSPAN MEDICAL GROUP
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • Doing Business As: WELLSPAN URGENT CARE
  • Address: 455 S WASHINGTON ST
    STE 12
    GETTYSBURG, PA
    ZIP 17325
  • Phone: (717) 339-2875

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NPI Details

WELLSPAN MEDICAL GROUP is an urgent care clinic center in Gettysburg, PA. WELLSPAN MEDICAL GROUP NPI is 1386894392. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wellspan Urgent Care.

The provider's business location address is:

455 S WASHINGTON ST
STE 12
GETTYSBURG, PA
ZIP 17325-516
Phone: (717) 339-2875
Fax: (717) 334-3921

The provider's authorized official is Christina Moon .
The authorized official title is Credentialing Supervisor and has the following contact phone number (717) 851-1404.

The enumeration date for this NPI number is 9/26/2008 and was last updated on 8/29/2017.

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
2363L00000XNurse PractitionerNo
3363LA2100XNurse PractitionerAcute CareNo
4261QU0200XClinic/CenterUrgent 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
1117038FLTMEDICARE PINPENNSYLVANIA
2F561OTHERMARYLANDCAREFIRST MD BCBS
3100772136MEDICAIDPENNSYLVANIA
41242630013MEDICARE NSCPENNSYLVANIA

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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