GREENCASTLE FAMILY PRACTICE PC NPI 1629009295

NPI Information

  • NPI: 1629009295
  • Provider Name: GREENCASTLE FAMILY PRACTICE PC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 39D0187033
  • Address: 50 EASTERN AVE
    STE 135
    GREENCASTLE, PA
    ZIP 17225
  • Phone: (717) 597-3151

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NPI Details

GREENCASTLE FAMILY PRACTICE PC is a family medicine in Greencastle, 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. GREENCASTLE FAMILY PRACTICE PC NPI is 1629009295. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

50 EASTERN AVE
STE 135
GREENCASTLE, PA
ZIP 17225-100
Phone: (717) 597-3151
Fax: (717) 597-8933

The provider's authorized official is Jenniffer Lee Showalter .
The authorized official title is Executive Assistant and has the following contact phone number (223) 465-2025.

The CLIA number assigned to this NPI record is 39D0187033 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/5/2006 and was last updated on 1/24/2025.

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
1101Y00000XCounselorNo
2103T00000XPsychologistNo
3104100000XSocial WorkerNo
4207Q00000XFamily 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
110744525MEDICAIDPENNSYLVANIA

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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