Healthcare Provider Details

I. General information

NPI: 1700972338
Provider Name (Legal Business Name): LANCASTER GENERAL HEALTH - COLUMBIA CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 N 7TH ST
COLUMBIA PA
17512-2137
US

IV. Provider business mailing address

306 N 7TH ST
COLUMBIA PA
17512-2137
US

V. Phone/Fax

Practice location:
  • Phone: 717-684-9106
  • Fax: 717-684-1666
Mailing address:
  • Phone: 717-684-9106
  • Fax: 717-684-1666

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number StatePA

VIII. Authorized Official

Name: STACY GRECO
Title or Position: PAYER ENROLLMENT MANAGER
Credential:
Phone: 223-341-8516