| Wellspan Good Samaritan Hospital Spu | |
|
252 South 4th Street Lebanon PA 17042-6123 | |
| (717) 270-7500 | |
| Not Available |
| Full Name | Wellspan Good Samaritan Hospital Spu |
|---|---|
| Speciality | Clinic/center - Ambulatory Surgical |
| Location | 252 South 4th Street, Lebanon, Pennsylvania |
| Authorized Official Name and Position | Patricia Donley (VP) |
| Authorized Official Contact | 7172707503 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspan Good Samaritan Hospital Spu 601 Memory Ln York PA 17402-2231 Ph: (717) 851-1405 | Wellspan Good Samaritan Hospital Spu 252 South 4th Street Lebanon PA 17042-6123 Ph: (717) 270-7500 |
| NPI Number | 1205902343 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 09/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205902343 | NPI | - | NPPES |
| 1007732780071 | Medicaid | PA | |
| 1007732780028 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QA1903X | Clinic/center - Ambulatory Surgical | 072401 (Pennsylvania) | Primary |
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Agape Family Medicine, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Cumberland St, Lebanon, PA 17042 Phone: 717-270-0335 Fax: 717-270-9740 | |
Penn Medicine Lghp Urgent Care Lebanon Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1701 Cornwall Rd Ste 101, Lebanon, PA 17042 Phone: 717-675-1788 Fax: 717-675-1800 | |
Penn Medicine Lghp Family Medicine Quentin Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1701 Cornwall Rd Ste 201, Lebanon, PA 17042 Phone: 717-675-1780 Fax: 717-675-1787 | |
Union Community Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 711 S 8th St, Lebanon, PA 17042 Phone: 717-299-6371 Fax: 717-325-8057 | |
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