Organization Active NPI

Community Family Health Care PC

  • Family Medicine Physician
  • Lebanon, PA
National Provider Identifier
1356360309
Registry record updated Jan 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Jan 12, 2010

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
02613400OtherCAPITAL BLUE CROSS
1007741120001MedicaidPA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.