Lebanon Family Health Service Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

LEBANON FAMILY HEALTH SERVICE INC.

Practice address

615 Cumberland St
Lebanon, PA 17042-5233

Phone

(717) 273-6741

Fax

(717) 273-6337

NPI assigned

Oct 9, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Donna Williams

Title

Vice President Operations

Phone

(717) 273-6741

Specialties & licenses 1

Addresses

Other identifiers 4

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456099200000",
    "number": "1255428488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 CUMBERLAND ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170425233",
            "telephone_number": "717-273-6741",
            "fax_number": "717-273-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 CUMBERLAND ST",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170425233",
            "telephone_number": "717-273-6741",
            "fax_number": "717-273-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEBANON FAMILY HEALTH SERVICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2016-02-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "VICE PRESIDENT OPERATIONS",
        "authorized_official_telephone_number": "717-273-6741"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02821900",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "656355",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007146120003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "1503082",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lebanon Dent Cornwall, LLC
• Lebanon Emergency Medical Associates PLLC
• Lebanon Emergency Physicians PC
• Lebanon Eyecare Associates
• Lebanon Family Dental
• Lebanon Fire Department First Aid and Safety Patrol
• Lebanon Imaging Associates, PC
• Lebanon Internal Medicine Associates PC
• Lebanon Internal Medicine Associates, P.C.
• Lebanon MRI Associates, LTD

• All providers in Lebanon, PA
• Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.