Lancaster General Medical Group
Organization Active NPI Urgent Care Clinic/Center · Lancaster, PA
NPI 1609327170 · NPPES record last updated Nov 16, 2020
Key facts
- NPI
- 1609327170
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- Legal business name
- LANCASTER GENERAL MEDICAL GROUP
- Practice address
- 540 N Duke St
Lancaster, PA 17602-2374 - Phone
- (717) 544-6111
- Fax
- (717) 544-2625
- NPI assigned
- Oct 20, 2016
- Organization subpart
- No
Authorized official
- Name
- Denise Kennedy
- Title
- Vice President Financial Services
- Phone
- (717) 544-5010
Other NPIs with the same Medicare PAC ID 7
Practitioners 592
-
Thomas C. Raff, M.D.
-
David Jon Rosenfeld, M.D.
-
Kelly Towers, PA
-
Jacqueline Weaver, CRNP
-
Abdullateef Abdulkareem, M.D.
-
David Michael Abel, D.O.
-
Rachel Abramczyk, DO
-
Sajeeb Adhikary, M.D.
-
Sandhya K Adusumilli, M.D.
-
John Douglas Affuso, M.D.
-
Shilpa Agarwal, M.D.
-
Farman Ali, MD
-
Isma Ali, MD
-
Farida Aliyeva, CRNP
-
John Allen, MD
-
Lisa S. Allen, M.D.
-
Janae Michele Allgire, MSW, LCSW
-
Ashley Allis, CRNP
-
Thomas W Andersen, M.D.
-
Alyxandria Lyn Andrews, CRNP
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D2122692 | Duke Street Urgent Care | Provider-performed microscopy | Dec 4, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040309000916 | PA | Part B Supplier - Clinic/Group Practice | 0941103683 |
Receives reassigned benefits from 886 practitioners This NPI is an additional NPI on the enrollment |
| O20190117003737 | PA | DME Supplier - Physician - General Practice | 0941103683 | Practice locations: Lancaster, PA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| Urgent Care Clinic/Center | 261QU0200X | Yes |
Addresses
Primary practice location
540 N Duke St
Lancaster, PA 17602-2374
Mailing address
540 N Duke St
Lancaster, PA 17602-2374
Phone (717) 544-6111
Other names
- Penn Medicine LGHP Urgent Care Duke Street
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Other providers in Lancaster, PA
- Lancaster General Medical Group
- Lancaster General Medical Group
- Lancaster General Medical Group
- Lancaster General Medical Group
- Lancaster General Medical Group
- Lancaster General Medical Group
- Lancaster General Medical Group
- Lancaster General Medical Group
- Lancaster General Medical Group
- Lancaster General Medical Group
All providers in Lancaster, PA · Urgent Care Clinic/Center in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.