| Wellspring Cottage Llc | |
|
2107 Castlegreen Dr Greencastle PA 17225-9215 | |
| (717) 597-2978 | |
| (717) 597-3046 |
| Full Name | Wellspring Cottage Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2107 Castlegreen Dr, Greencastle, Pennsylvania |
| Authorized Official Name and Position | Marianne Herr-paul (OWNER) |
| Authorized Official Contact | 7175972978 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspring Cottage Llc 2107 Castlegreen Dr Greencastle PA 17225-9215 Ph: (717) 597-2978 | Wellspring Cottage Llc 2107 Castlegreen Dr Greencastle PA 17225-9215 Ph: (717) 597-2978 |
| NPI Number | 1205042553 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 08/20/2021 |
| Medicare PECOS PAC ID | 4789784596 |
|---|---|
| Medicare Enrollment ID | O20070710000170 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205042553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | OS008131-L (Pennsylvania) | Primary |
| Provider Name | Marianne Herr Paul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457342347 PECOS PAC ID: 5395844765 Enrollment ID: I20070626000292 |
Wellspan Family Medicine - Greencastle Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 Antrim Commons Dr, Greencastle, PA 17225 Phone: 717-597-5553 Fax: 717-597-5522 | |
Wellspan Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 Antrim Commons Dr, Greencastle, PA 17225 Phone: 717-593-0512 Fax: 717-839-6810 |