Wellspan Family Medicine - North Fourth Street

LBN: Wellspan Medical Group
Wellspan Family Medicine - North Fourth Street is an health care organization with primary practice located at 30 N 4Th St 2Nd Fl, Lebanon PA 17046-5606. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Wellspan Medical Group can be contacted via phone (717) 274-0474, or through Moon, Christina via phone (717) 851-1405.

Contact Information

Primary practice address
30 N 4Th St 2Nd Fl Lebanon PA 17046-5606
Phone: (717) 274-0474
Fax: (717) 274-0673
Website:
Map and Directions
Authorized official contact:
Name: Moon, Christina
Phone: (717) 851-1405

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1356892889
LBN Legal business name Wellspan Medical Group
DBA Doing business as Wellspan Family Medicine - North Fourth Street
Authorized official Moon, Christina
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2016
Last updated Oct 19th, 2016 - about 8 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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