Organization Active NPI

Spring Grove Family Care Center LLC

  • Clinic/Center
  • Spring Grove, PA
National Provider Identifier
1376644724
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SPRING GROVE FAMILY CARE CENTER LLC
Practice address
2030 Thistle Hill Dr
Suite 200
Spring Grove, PA 17362-1159
Phone
(717) 225-6556
Fax
(717) 225-0356
NPI assigned
Sep 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2014

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

Authorized official

Name
Dr. Howard H. Farrington III, M.D.NPI 1538268354
Title
Owner
Phone
(717) 225-6556

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2030 Thistle Hill Dr
Suite 200
Spring Grove, PA 17362-1159

Mailing address

2030 Thistle Hill Dr
Suite 200
Spring Grove, PA 17362-1159
Phone (717) 225-6556

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040331000806 PA Part B Supplier - Clinic/Group Practice 8325030331 Receives reassigned benefits from 1 practitioner
Practice locations: Spring Grove, PA

National Provider Directory

National Provider Directory

Locations

2030 Thistle Hill Dr
Ste 200
Spring Grove, PA 17362
Phone (717) 225-6556

Practitioners & affiliated clinicians

Practitioners 2

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": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1376644724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 THISTLE HILL DR",
            "address_2": "SUITE 200",
            "city": "SPRING GROVE",
            "state": "PA",
            "postal_code": "173621159",
            "telephone_number": "717-225-6556",
            "fax_number": "717-225-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 THISTLE HILL DR",
            "address_2": "SUITE 200",
            "city": "SPRING GROVE",
            "state": "PA",
            "postal_code": "173621159",
            "telephone_number": "717-225-6556",
            "fax_number": "717-225-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING GROVE FAMILY CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "FARRINGTON",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "717-225-6556",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Grove, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.