# AGAPE FAMILY MEDICINE, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114927043
- **Authorized official:** REBECCA R LONG MD (OWNER/PHYSICIAN)
- **Authorized official phone:** (717) 270-0335

## Contact information

- **Practice address:** 410 CUMBERLAND ST, LEBANON, PA 17042-5351
- **Practice address phone:** (717) 270-0335
- **Practice address fax:** (717) 270-9740
- **Mailing address:** 410 CUMBERLAND ST, LEBANON, PA 17042-5351
- **Mailing address phone:** (717) 270-0335
- **Mailing address fax:** (717) 270-9740

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD-064156L | PA | Yes |

## Other

- **Enumeration date:** 07/21/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01391101 | CAPITAL BLUE CROSS | — |
| 05 | — | 01711849 | — | PA |
| 01 | — | 129891 | HEALTH AMERICA/ASSURANCE | — |
| 01 | — | 15097 | GEISINGER HEALTH PLAN | — |
| 01 | — | 1684763 | HIGHMARK BLUE SHIELD | — |
| 01 | — | 5130980 | HEALTHGUARD | — |
| 01 | — | 85419 | AETNA | — |
| 01 | — | L019072 | BLUE CROSS/BLUE SHIELD | — |