Wellspan Family Medicine - Terre Hill | |
770 Broad Street Terre Hill PA 17581-0130 | |
(717) 445-4576 | |
(717) 445-4483 |
Full Name | Wellspan Family Medicine - Terre Hill |
---|---|
Speciality | Family Medicine |
Location | 770 Broad Street, Terre Hill, 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 - Terre Hill 4131 Oregon Pike Suite C Ephrata PA 17522 Ph: (717) 859-5171 | Wellspan Family Medicine - Terre Hill 770 Broad Street Terre Hill PA 17581-0130 Ph: (717) 445-4576 |
NPI Number | 1427065457 |
---|---|
Provider Enumeration Date | 08/02/2006 |
Last Update Date | 08/07/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427065457 | NPI | - | NPPES |
1746284 | Other | PA | BLUE SHIELD |
DD6938 | Other | PA | RAILROAD MEDICARE |
1013977730002 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |