| Wellspan Family Medicine-lake Street | |
|
136 A & B Lake Street Ephrata PA 17522-2415 | |
| (717) 721-7718 | |
| (717) 721-7726 |
| Full Name | Wellspan Family Medicine-lake Street |
|---|---|
| Speciality | Family Medicine |
| Location | 136 A & B Lake Street, Ephrata, 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 Medicine-lake Street 136 Lake St Ephrata PA 17522-2415 Ph: (717) 721-7718 | Wellspan Family Medicine-lake Street 136 A & B Lake Street Ephrata PA 17522-2415 Ph: (717) 721-7718 |
| NPI Number | 1346344561 |
|---|---|
| Provider Enumeration Date | 09/08/2006 |
| Last Update Date | 10/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346344561 | NPI | - | NPPES |
| DD6938 | Other | PA | RAILROAD MEDICARE |
| 1013977730008 | Medicaid | PA | |
| 1746343 | Other | PA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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Upmc Ephrata Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4229 Oregon Pike, Ephrata, PA 17522 Phone: 717-445-4371 Fax: 717-445-4767 | |
Internal Medicine Associates Of Ephrata Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 808 Pleasantview Dr, Ephrata, PA 17522 Phone: 717-733-6518 Fax: 717-733-8613 | |
Wellspan Family Medicine - Trout Run Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 808 Pleasantview Dr, Ephrata, PA 17522 Phone: 717-733-9090 Fax: 717-733-8982 | |
Wellspan Ephrata Community Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-733-0311 | |
Wellspan Family Medicine - Trout Run Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 808 Pleasantview Dr, Ephrata, PA 17522 Phone: 717-733-9090 Fax: 717-733-8982 | |
Penn Medicine Lghp Family Medicine Lincoln Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1635 West Main Street, Suite 700, Ephrata, PA 17522 Phone: 717-738-0660 Fax: 717-738-0658 |