Active NPI
Community Family Health Care PC
- Family Medicine Physician
- Lebanon, PA
National Provider Identifier
1356360309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- COMMUNITY FAMILY HEALTH CARE PC
- Practice address
- 405 Cumberland St
Lebanon, PA 17042-5371 - Phone
- (717) 272-7321
- NPI assigned
- Jul 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Mann
- Title
- Billing Coordinator
- Phone
- (717) 272-5395
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
405 Cumberland St
Lebanon, PA 17042-5371
Mailing address
PO Box 779
Lebanon, PA 17042-0779
Phone (717) 272-5395
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02613400 | Other | CAPITAL BLUE CROSS | |
| 1007741120001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
323 Cumberland St
Lebanon, PA 17042
Phone (717) 272-2127
405 Cumberland St
Lebanon, PA 17042
Phone (717) 272-5395
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Harrisburg, PA
- NPI 1215985270
-
- Family Medicine Physician
- Lebanon, PA
- NPI 1841221603
-
- Family Nurse Practitioner
- Lebanon, PA
- NPI 1467565655
-
- Family Medicine Physician
- Harrisburg, PA
- NPI 1184620734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1263254400000",
"number": "1356360309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 779",
"city": "LEBANON",
"state": "PA",
"postal_code": "170420779",
"telephone_number": "717-272-5395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 CUMBERLAND ST",
"city": "LEBANON",
"state": "PA",
"postal_code": "170425371",
"telephone_number": "717-272-7321"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY FAMILY HEALTH CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-19",
"last_updated": "2010-01-12",
"status": "A",
"authorized_official_last_name": "MANN",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "BILLING COORDINATOR",
"authorized_official_telephone_number": "717-272-5395"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "02613400",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007741120001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.