State Stree Family Practice

LBN: Northern Lancaster County Medical Group
State Stree Family Practice is an health care organization with primary practice located at 11 S State St , Ephrata PA 17522-2410. 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) 733-4559, or through Malizia, Cynthia via phone (717) 738-2280.

Contact Information

Primary practice address
11 S State St Ephrata PA 17522-2410
Fax:
Website:
Authorized official contact:
Name: Malizia, Cynthia

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1538107560
LBN Legal business name Northern Lancaster County Medical Group
DBA Doing business as State Stree Family Practice
Authorized official Malizia, Cynthia
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2006
Last updated Apr 20th, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538107560 NPPES
Pennsylvania MEDICAID 1013977730012
Pennsylvania Other 50051253
Pennsylvania Other 7090090
Pennsylvania Other DD6938
Pennsylvania Other 1746355
Pennsylvania Other 1517100

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