Healthcare Provider Details

I. General information

NPI: 1376644724
Provider Name (Legal Business Name): SPRING GROVE FAMILY CARE CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 05/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2030 THISTLE HILL DR SUITE 200
SPRING GROVE PA
17362-1159
US

IV. Provider business mailing address

2030 THISTLE HILL DR SUITE 200
SPRING GROVE PA
17362-1159
US

V. Phone/Fax

Practice location:
  • Phone: 717-225-6556
  • Fax: 717-225-0356
Mailing address:
  • Phone: 717-225-6556
  • Fax: 717-225-0356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. HOWARD H. FARRINGTON III
Title or Position: OWNER
Credential: M.D.
Phone: 717-225-6556