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Wellspan Medical Group

Emergency Medicine, Emergency Medical Services in Lebanon, PA. Organization (NPI-2).

NPI number1164097861
StatusActive
Last updated in NPPESMay 25, 2021

Details

NPI
1164097861
Entity type
Organization (NPI-2)
Legal business name
Wellspan Medical Group
Organization subpart
No
Enumeration date
May 25, 2021
Certification date
May 25, 2021
Last updated
May 25, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207PE0004X Emergency Medicine, Emergency Medical Services––Yes

Other names

  • Wellspan Good Samaritan Hospital Emergency Services (Doing Business As)

Practice location

252 S 4th St
Lebanon, PA 17042-6111

Phone 717-851-1405 · Fax 717-851-6969

Mailing address

3421 Concord Rd
York, PA 17402-9001

Phone 717-851-1405 · Fax 717-851-6969

Authorized official

Laura Frank
Credentialing Manager
7178516832

Is something wrong?

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