| Penn Medicine Lghp Family Medicine County Line | |
|
5360 Lincoln Highway East, Store #15 Village At Gap Gap PA 17527-9461 | |
| (717) 442-8111 | |
| (717) 442-8981 |
| Full Name | Penn Medicine Lghp Family Medicine County Line |
|---|---|
| Speciality | Family Medicine |
| Location | 5360 Lincoln Highway East, Store #15, Gap, Pennsylvania |
| Authorized Official Name and Position | Denise Kennedy (VICE PRESIDENT FINANCIAL SERVICES) |
| Authorized Official Contact | 7175445010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Penn Medicine Lghp Family Medicine County Line 5360 Lincoln Highway East, Store #15 Village At Gap Gap PA 17527-9461 Ph: (717) 442-8111 | Penn Medicine Lghp Family Medicine County Line 5360 Lincoln Highway East, Store #15 Village At Gap Gap PA 17527-9461 Ph: (717) 442-8111 |
| NPI Number | 1922037126 |
|---|---|
| Provider Enumeration Date | 07/01/2006 |
| Last Update Date | 11/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922037126 | NPI | - | NPPES |
| 1007327490138 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Pequea Valley Community Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 836 Houston Run Dr, Suite 201, Gap, PA 17527 Phone: 717-442-9505 Fax: 717-442-9531 |