Wellspan Family Medicine - East Berlin

LBN: Wellspan Medical Group
Wellspan Family Medicine - East Berlin is an health care organization with primary practice located at 105 4Th St # 727 , East Berlin PA 17316-9638. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Wellspan Medical Group can be contacted via phone (717) 812-4900, or through Frank, Laura via phone (717) 851-6832.

Contact Information

Primary practice address
105 4Th St # 727 East Berlin PA 17316-9638
Phone: (717) 812-4900
Fax: (717) 255-0951
Website:
Map and Directions
Authorized official contact:
Name: Frank, Laura
Phone: (717) 851-6832

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1649348525
LBN Legal business name Wellspan Medical Group
DBA Doing business as Wellspan Family Medicine - East Berlin
Authorized official Frank, Laura
Entity Organization
Organization subpart 1 No
Enumeration date Dec 1st, 2006
Last updated Jun 15th, 2021 - about 3 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 1649348525 NPPES
Pennsylvania Other 82212 UNISON
Pennsylvania Other 1519296 UNISON
Pennsylvania Other 597344 UNISON
Pennsylvania Other KX10 UNISON
Pennsylvania Other 0756905001 UNISON
Pennsylvania Other CA3246 UNISON
Pennsylvania Other S1ER UNISON
Pennsylvania Other 02293300 UNISON
Pennsylvania MEDICAID 1007721360095 UNISON
Pennsylvania Other 1142342 UNISON
Pennsylvania Other 5388041 UNISON
Pennsylvania Other 800174 UNISON

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