| Wellspan Family Medicine - Trout Run | |
|
808 Pleasantview Dr Ephrata PA 17522-1644 | |
| (717) 733-9090 | |
| (717) 733-8982 |
| Full Name | Wellspan Family Medicine - Trout Run |
|---|---|
| Speciality | Family Medicine |
| Location | 808 Pleasantview Dr, Ephrata, Pennsylvania |
| Authorized Official Name and Position | Charles David Noll (VICE PRESIDENT) |
| Authorized Official Contact | 7178515161 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspan Family Medicine - Trout Run 4131 Oregon Pike Suite C Ephrata PA 17522-9550 Ph: (717) 859-5161 | Wellspan Family Medicine - Trout Run 808 Pleasantview Dr Ephrata PA 17522-1644 Ph: (717) 733-9090 |
| NPI Number | 1073547733 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 05/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073547733 | NPI | - | NPPES |
| 1013977730013 | Medicaid | PA | |
| DD6938 | Other | PA | RAILROAD MEDICARE |
| 1746358 | Other | PA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Wellspan Family Medicine- Crossroads Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4131 Oregon Pike, Ephrata, PA 17522 Phone: 717-859-1123 Fax: 717-859-2898 | |
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 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 |