Union Community Care
Organization Active NPI Federally Qualified Health Center (FQHC) · Lancaster, PA
NPI 1992400824 · NPPES record last updated Mar 18, 2025
Key facts
- NPI
- 1992400824
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- UNION COMMUNITY CARE
- Practice address
- 445 N Reservoir St
Lancaster, PA 17602-2447 - Phone
- (717) 299-6371
- Fax
- (717) 325-8057
- NPI assigned
- Mar 31, 2023
- Organization subpart
- Yes
- Parent organization (as reported)
- UNION COMMUNITY CARE
Authorized official
- Name
- Alisa Maria Jones
- Title
- President and Ceo
- Phone
- (717) 945-1551
Owners & managing parties with NPI records 2
-
Rebecca Ryan, DMD
Owned or controlled facilities with NPI records 4
Other NPIs on the same Medicare enrollment 20
Other NPIs with the same Medicare PAC ID 21
Corporate family (same tax ID) 23
Practitioners 22
-
Erica Leigh Coulter, M.D.
-
Douglas E Leaman, M.D.
-
Mattie Lefever, RDN
-
Sabrina Aileen Milhous, M.D.
-
Peter G Moyer, M.D.
-
John D Perez, MA
-
Juan A Pineda, LCSW
-
Madhumita Sadhukhan, M.D.
-
Gwendolyn Shelly, R.D.
-
Robert J Shelly, MD
-
Peter C Smith, DPM
-
Tuyet-Nga Q Vu, D.O.
-
Tara M Wiker, LCSW
-
Kavita Vasu, M.D.
-
Kristen Lea Spatafora, MSN, CRNP, FNP-C
-
Khamini Guillermo, CRNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA
Federally qualified health center certification: CCN 731132
- Legal name
- UNION COMMUNITY CARE
- Doing business as
- UNION COMMUNITY CARE
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Apr 17, 2023
- Last certification
- Apr 17, 2023
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Oct 1, 1973 in PA
- Enrollment address
- 445 N Reservoir St
Lancaster, PA 17602-2447
All disclosed owners & managing parties 6
| Name | Role | Since | Share |
|---|---|---|---|
| Rebecca Ryan |
W-2 Managing Employee |
Mar 6, 2025 | |
| James Reichenbach |
W-2 Managing Employee |
Mar 1, 2021 | |
| Eric Blum |
W-2 Managing Employee |
Jul 28, 2023 | |
| Alisa M Jones |
Corporate Officer |
Mar 1, 2021 | 100% |
| Operational/Managerial Control |
Mar 1, 2021 | 100% | |
| Jennifer Black |
W-2 Managing Employee |
Dec 8, 2023 | |
| Anne-Marie Derrico |
W-2 Managing Employee |
Mar 1, 2021 |
All facility ownership & control disclosures 4
| Facility | Type | Role | Since |
|---|---|---|---|
| Union Community Care |
Federally qualified health center | Operational/Managerial Control (100%) | Mar 1, 2021 |
| Union Community Care |
Federally qualified health center | Operational/Managerial Control (100%) | Mar 1, 2021 |
| Union Community Care |
Federally qualified health center | Operational/Managerial Control (100%) | Mar 1, 2021 |
| Union Community Care |
Federally qualified health center | Operational/Managerial Control (100%) | Jul 1, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040608000860 | PA | Part B Supplier - Clinic/Group Practice | 8123914322 |
Receives reassigned benefits from 97 practitioners 21 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Lancaster, PA; Lebanon, PA; New Holland, PA; Ephrata, PA; Denver, PA; Columbia, PA |
| O20230522002803 | PA | Part a Provider - Federally Qualified Health Center (FQHC) | 8123914322 | Practice locations: Lancaster, PA |
National Provider Directory
- Tax ID family
- Welsh Mountain HLTH CTRS
- Part of
- Welsh Mountain HLTH CTRS
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
445 N Reservoir St
Lancaster, PA 17602-2447
Mailing address
454 New Holland Ave Ste 300
Lancaster, PA 17602-2290
Phone (717) 299-6371
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007614190023 | Medicaid | PA |
Other names
- Welsh Mountain Health Centers
NPI Registry JSON
{
"created_epoch": "1680220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742256000000",
"number": "1992400824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "454 NEW HOLLAND AVE STE 300",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176022290",
"telephone_number": "717-299-6371",
"fax_number": "717-325-8057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 N RESERVOIR ST",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176022447",
"telephone_number": "717-299-6371",
"fax_number": "717-325-8057"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNION COMMUNITY CARE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "UNION COMMUNITY CARE",
"enumeration_date": "2023-03-31",
"last_updated": "2025-03-18",
"certification_date": "2025-03-18",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "ALISA",
"authorized_official_middle_name": "MARIA",
"authorized_official_title_or_position": "PRESIDENT AND CEO",
"authorized_official_telephone_number": "717-945-1551"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1007614190023",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Welsh Mountain Health Centers",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Lancaster, PA
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All providers in Lancaster, PA · Federally Qualified Health Center (FQHC) 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 18, 2025. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.