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NPI Code Detail

MEDICARE: WELLSPAN MEDICAL GROUP

MEDICARE: WELLSPAN MEDICAL GROUP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician
2207Q00000XFamily Medicine Physician
3332B00000XDurable Medical Equipment & Medical Supplies
4261QU0200XUrgent Care Clinic/Center

General Provider Information

NPI Number : 1467072553
Entity Type Code : Organization
Provider Name (Legal Business Name) : WELLSPAN MEDICAL GROUP
Provider Business Mailing Address
First Line : 601 MEMORY LN
Second Line :
City : YORK
State : PA
Zip : 17402-2231
Country : US
Telephone Number : 717-851-1405
Fax Number : 717-851-6969
Provider Business Practice Location Address
First Line : 9 NATHAN LN
Second Line :
City : ANNVILLE
State : PA
Zip : 17003-6500
Country : US
Telephone Number : 717-639-3350
Fax Number :
Authorized Official
Title or Position : DIRECTOR-PATIENT FINANCIAL SERVICES
Name : JENNIFER ELAINE SWEITZER
Credential :
Telephone Number : 717-851-6838
Provider Enumeration Date : 04/20/2020
Last Update Date : 04/01/2025

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Directions to “WELLSPAN MEDICAL GROUP ” Practice Location

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