| Wellspan Family & Sports Medicine-cocalico | |
|
30 W. Swartzville Road Suite 1 Reinholds PA 17569 | |
| (717) 484-4347 | |
| (717) 484-0968 |
| Full Name | Wellspan Family & Sports Medicine-cocalico |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 30 W. Swartzville Road, Reinholds, 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 & Sports Medicine-cocalico 4131 Oregon Pike Suite C Ephrata PA 17522-9550 Ph: (717) 859-5161 | Wellspan Family & Sports Medicine-cocalico 30 W. Swartzville Road Suite 1 Reinholds PA 17569 Ph: (717) 484-4347 |
| NPI Number | 1215257050 |
|---|---|
| Provider Enumeration Date | 06/03/2010 |
| Last Update Date | 06/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215257050 | NPI | - | NPPES |
| 1013977730024 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Ouilikon Medical Associates, P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16 N Village Cir, Reinholds, PA 17569 Phone: 717-484-5140 Fax: 717-484-5143 | |
Wellspan Family Medicine-cocalico Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 W Swartzville Rd, Reinholds, PA 17569 Phone: 717-484-4347 Fax: 717-484-0968 | |
Reinholds Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 171 Chapel View Dr, Reinholds, PA 17569 Phone: 717-336-5824 Fax: 717-336-5401 |