Wellspan Medical Group
Family Medicine in York, PA. Organization (NPI-2).
NPI number1245308634
StatusActive
Last updated in NPPESJan 11, 2018
Details
- NPI
- 1245308634
- Entity type
- Organization (NPI-2)
- Legal business name
- Wellspan Medical Group
- Organization subpart
- No
- Enumeration date
- Dec 1, 2006
- Last updated
- Jan 11, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Other names
- Wellspan Family Medicine - Hayshire (Doing Business As)
Practice location
2775 N George StYork, PA 17406-3020
Phone 717-812-7300 · Fax 717-845-4625
Mailing address
1803 Mount Rose AveSuite B3
York, PA 17403-3051
Phone 717-851-1405 · Fax 717-845-4625
Authorized official
Christina Vest
Credentialing Supervisor
7178511405
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