Wellspan Family Medicine-Lake Street
LBN: Northern Lancaster County Medical Group
Wellspan Family Medicine-Lake Street is an health care organization with primary practice located at 136 A & B Lake Street , Ephrata PA 17522-2415. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Northern Lancaster County Medical Group can be contacted via phone (717) 721-7718, or through Noll, Charles David via phone (717) 859-5161.
Contact Information
Primary practice address
136 A & B Lake Street
Ephrata PA 17522-2415
Phone: (717) 721-7718
Fax: (717) 721-7726
Website:
Authorized official contact:
Name: Noll, Charles David Doctor of Osteopathy (DO)
Phone: (717) 859-5161
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X |
Profile Details
| NPI number | 1346344561 |
|---|---|
| LBN Legal business name | Northern Lancaster County Medical Group |
| DBA Doing business as | Wellspan Family Medicine-Lake Street |
| Authorized official | Noll, Charles David Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 8th, 2006 |
| Last updated | Oct 15th, 2015 - about 10 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 | 1346344561 | NPPES |
| Pennsylvania | Other | DD6938 | RAILROAD MEDICARE |
| Pennsylvania | MEDICAID | 1013977730008 | RAILROAD MEDICARE |
| Pennsylvania | Other | 1746343 | RAILROAD MEDICARE |
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