Springdale Pediatric Medicine

LBN: Wellspan Medical Group
Springdale Pediatric Medicine is an health care organization with primary practice located at 2339 S George St , York PA 17403-5009. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Wellspan Medical Group can be contacted via phone (717) 812-3040, or through Wilkinson, Amy F via phone (717) 851-1405.

Contact Information

Primary practice address
2339 S George St York PA 17403-5009
Phone: (717) 812-3040
Fax: (717) 812-3049
Website:
Map and Directions
Authorized official contact:
Name: Wilkinson, Amy F
Phone: (717) 851-1405

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1750443719
LBN Legal business name Wellspan Medical Group
DBA Doing business as Springdale Pediatric Medicine
Authorized official Wilkinson, Amy F
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2006
Last updated Aug 11th, 2010 - about 14 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 1750443719 NPPES
Pennsylvania MEDICAID 1007721360104
Pennsylvania Other 1519307
Pennsylvania Other 0068573004
Pennsylvania Other 20011318
Pennsylvania Other 5643320
Pennsylvania Other 82187
Pennsylvania Other 1519308
Pennsylvania Other 0068573002
Pennsylvania Other 147455
Pennsylvania Other CA3246
Pennsylvania Other KX53
Pennsylvania Other 1142418
Pennsylvania Other 800174
Pennsylvania MEDICAID 1007721360097
Pennsylvania Other S1E0
Pennsylvania Other 03058500

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