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MORGANTOWN FAMILY PRACTICE LLC NPI 1710958475


NPI Information

NPI: 1710958475
Provider Name: MORGANTOWN FAMILY PRACTICE LLC

Other Name: GORDON R DONALDSON

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 39D0935330

Address:
4103 MAIN ST
ELVERSON, PA
ZIP 19520
Phone: (610) 286-9064
Get Directions

MORGANTOWN FAMILY PRACTICE LLC is a family medicine in Elverson, 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. MORGANTOWN FAMILY PRACTICE LLC NPI is 1710958475. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Gordon R Donaldson.

The provider's business location address is:

4103 MAIN ST
ELVERSON, PA
ZIP 19520-378
Phone: (610) 286-9064
Fax: (610) 286-7832

The provider's authorized official is Gordon R Donaldson .
The authorized official title is Owner and has the following contact phone number (610) 286-9064.

The CLIA number assigned to this NPI record is 39D0935330 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/31/2006 and was last updated on 6/23/2008.


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 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
1DG2978OTHERRAILROAD MEDICARE
2082854MEDICARE PINPENNSYLVANIA
31310236OTHERPENNSYLVANIAPA BLUE SHIELD

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: 5/5/2024

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