NORTHERN LANCASTER COUNTY MEDICAL GROUP NPI 1932155181

NPI Information

NPI: 1932155181
Provider Name: NORTHERN LANCASTER COUNTY MEDICAL GROUP

Doing Business As: WELLSPAN FAMILY MEDICINE - MEADOWBROOK

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

Address:
337 W MAIN ST
SUITE 100
LEOLA, PA
ZIP 17540
Phone: (717) 656-6122
Get Directions

NORTHERN LANCASTER COUNTY MEDICAL GROUP is a family medicine in Leola, 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 1932155181. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Wellspan Family Medicine - Meadowbrook.

The provider's business location address is:

337 W MAIN ST
SUITE 100
LEOLA, PA
ZIP 17540-109
Phone: (717) 656-6122
Fax: (717) 656-0142

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 39D0188108 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 5/5/2015.

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
1	207Q00000X	Family Medicine				Yes

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
1	092914	MEDICARE PIN	PENNSYLVANIA
2	1517089	OTHER	PENNSYLVANIA	GATEWAY
3	1013977730018	MEDICAID	PENNSYLVANIA
4	5372553	OTHER	PENNSYLVANIA	AETNA
5	1746348	OTHER	PENNSYLVANIA	BLUE SHIELD
6	50051234	OTHER	PENNSYLVANIA	CAPITAL BLUE CROSS
7	DD6938	OTHER	PENNSYLVANIA	RR MEDICARE
8	=========	OTHER	PENNSYLVANIA	CIGNA

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: 4/28/2024

NPI Synchronization or Removal

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