Norther Lancaster County Medical Group
Organization Active NPI Non-Pharmacy Dispensing Site · Brownstown, PA
NPI 1508047606 · NPPES record last updated Mar 31, 2015
Key facts
- NPI
- 1508047606
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Non-Pharmacy Dispensing Site 332900000X
- License
- OS004463L (PA)
- Legal business name
- NORTHER LANCASTER COUNTY MEDICAL GROUP
- Practice address
- 4131 Oregon Pike
Brownstown, PA 17508-5083 - Phone
- (717) 859-1123
- NPI assigned
- Nov 16, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- MEDVANTX, INC.
Authorized official
- Name
- Kenny Heine
- Title
- VP of Operations
- Phone
- (858) 625-2990
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Ephrata Community Hospital
- Part of
- Tri - State Medical Group Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | OS004463L | PA | Yes |
Addresses
Primary practice location
4131 Oregon Pike
Brownstown, PA 17508-5083
Mailing address
5626 Oberlin Dr
Suite 110
San Diego, CA 92121-1705
Other names
- Wellspan Family Medicine - Crossroads
Other providers in Brownstown, PA
- Lancaster Speech and Hearing, LLC
- William E Longenecker
- Jessica Lauren McGlynn
- Rose A Medice
- Charles David Noll
- Northern Lancaster County Medical Group
- Nshape Center
- James Riley Siegenthaler
- Shannon Nicole Strohl
- T. W. Ponessa and Associates Counseling Services, Inc.
All providers in Brownstown, PA · Non-Pharmacy Dispensing Site in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.