Wellspan Pediatric Medicine - Lebanon
LBN: Good Samaritan Physician Services
Wellspan Pediatric Medicine - Lebanon is an health care organization with primary practice located at 618 Cornwall Rd Building 2, Lebanon PA 17042-7089. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty.
Good Samaritan Physician Services can be contacted via phone (717) 279-6700, or through Boger, Jody M via phone (717) 270-7780.
Contact Information
Primary practice address
618 Cornwall Rd Building 2
Lebanon PA 17042-7089
Phone: (717) 279-6700
Fax: (717) 279-6759
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X |
Profile Details
| NPI number | 1760510523 |
|---|---|
| LBN Legal business name | Good Samaritan Physician Services |
| DBA Doing business as | Wellspan Pediatric Medicine - Lebanon |
| Authorized official | Boger, Jody M |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Oct 5th, 2016 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760510523 | NPPES |
| Pennsylvania | MEDICAID | 001864024 |
Popular Providers
-
Good Samaritan Physician Services
30 N 4Th St 2Nd Floor, Lebanon PA 17046-5606 -
Pediatric Professional Associates, P.A.
7001 Sw 87Th Ave , Miami FL 33173-2505 -
Ewing & Morris, P.C.
850 Tuck St , Lebanon PA 17042-7477 -
Good Samaritan Pediatrics 503 Oak Street
503 Oak St , Lebanon PA 17042-6246 -
Stabler Clinic, P.C.
300 N College St , Greenville AL 36037-2025 -
Good Samaritan Physician Services
4Th And Willow Streets , Lebanon PA 17042-0300 -
United Medical Centers
2525 N Veterans Blvd , Eagle Pass TX 78852-3302 -
Gateway Family Health Clinic, Ltd.
4570 Cty Hwy 61 , Moose Lake MN 55767-9401