| Wellspan Family Health - Leacock | |
|
3413 Harvest Dr Gordonville PA 17529-9586 | |
| (717) 768-7141 | |
| (717) 768-3528 |
| Full Name | Wellspan Family Health - Leacock |
|---|---|
| Speciality | Family Medicine |
| Location | 3413 Harvest Dr, Gordonville, Pennsylvania |
| Authorized Official Name and Position | Charles David Noll (VICE PRESIDENT) |
| Authorized Official Contact | 7178595161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspan Family Health - Leacock 4131 Oregon Pike Suite C Ephrata PA 17522-9550 Ph: (717) 859-5161 | Wellspan Family Health - Leacock 3413 Harvest Dr Gordonville PA 17529-9586 Ph: (717) 768-7141 |
| NPI Number | 1619177490 |
|---|---|
| Provider Enumeration Date | 07/20/2007 |
| Last Update Date | 05/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619177490 | NPI | - | NPPES |
| 1013977730025 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD007574E (Pennsylvania) | Primary |
The Clinic For Special Children, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Community Lane, Gordonville, PA 17529 Phone: 717-687-9407 Fax: 717-687-9237 | |
Harvest Drive Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3469 Harvest Dr, Gordonville, PA 17529 Phone: 717-768-3100 |