| Wellspan Family Medicine - Meadowbrook | |
|
337 W Main St Suite 100 Leola PA 17540-2109 | |
| (717) 656-6122 | |
| (717) 656-0142 |
| Full Name | Wellspan Family Medicine - Meadowbrook |
|---|---|
| Speciality | Family Medicine |
| Location | 337 W Main St, Leola, 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 - Meadowbrook 4131 Oregon Pike Suite C Ephrata PA 17522-9550 Ph: (717) 859-5161 | Wellspan Family Medicine - Meadowbrook 337 W Main St Suite 100 Leola PA 17540-2109 Ph: (717) 656-6122 |
| NPI Number | 1932155181 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 05/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932155181 | NPI | - | NPPES |
| 1517089 | Other | PA | GATEWAY |
| 5372553 | Other | PA | AETNA |
| 1013977730018 | Medicaid | PA | |
| 1746348 | Other | PA | BLUE SHIELD |
| 50051234 | Other | PA | CAPITAL BLUE CROSS |
| DD6938 | Other | PA | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Wellspan Family Medicine - Meadowbrook Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 368 W Main St, Suite 100, Leola, PA 17540 Phone: 717-656-6122 Fax: 717-656-0142 | |
Penn Medicine Lghp Family Medicine Leola Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 146 E Main St, Leola, PA 17540 Phone: 717-656-2141 Fax: 717-656-4986 | |
Leola Chiropractic Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Holly Dr, Leola, PA 17540 Phone: 717-656-0032 Fax: 717-656-3019 | |
Leola Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 146 E Main St, Leola, PA 17540 Phone: 717-656-2141 Fax: 717-656-4986 | |
Bareville Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Zimmerman Rd, Leola, PA 17540 Phone: 717-656-4922 |