| Wellspan Medical Group | |
|
55 N Main St Jacobus PA 17407-1248 | |
| (717) 428-1911 | |
| (717) 428-2519 |
| Full Name | Wellspan Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 55 N Main St, Jacobus, Pennsylvania |
| Authorized Official Name and Position | Laura Frank (CREDENTIALING MANAGER) |
| Authorized Official Contact | 7178516832 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspan Medical Group 3421 Concord Rd York PA 17402-9001 Ph: (717) 851-1405 | Wellspan Medical Group 55 N Main St Jacobus PA 17407-1248 Ph: (717) 428-1911 |
| NPI Number | 1922790963 |
|---|---|
| Provider Enumeration Date | 05/25/2023 |
| Last Update Date | 05/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922790963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Jacobus Medical Center, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 55 N Main St, Jacobus, PA 17407 Phone: 717-428-1911 Fax: 717-428-2519 |