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Organization
WELLSPAN MEDICAL GROUP
Active
Organization
WELLSPAN MEDICAL GROUP
Active
Other names
Adams County Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY F WILKINSON (CREDENTIALING COORDINATOR)
(717) 851-1405
Entity
Organization
Contact information
Practice address
450 S WASHINGTON ST, SUITE E, GETTYSBURG, PA 17325-2500
(717) 338-3285
(717) 338-3287
Mailing address
1803 MOUNT ROSE AVE, SUITE B3, YORK, PA 17403-3051
(717) 851-1405
(717) 338-3287
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007721360121
—
PA
01
—
1429586
HIGHMARK BLUE SHIELD
PA
01
—
145555
UNISON PCP
PA
01
—
1529864
GATEWAY
PA
01
—
180987
UNISON SPECIALIST
PA
01
—
20017849
AMERIHEALTH MERCY
PA
01
—
2133931001
AMERIHEALTH65PA
PA
01
—
345T
GEISINGER SP
PA
01
—
401065505
MD MEDICAL ASSISTANCE
MD
01
—
50018391
CAPITAL BLUE CROSS
PA
01
—
7148888
AETNA
PA
01
—
800174
JOHN HOPKINS
PA
01
—
CA3246
RAILROAD MEDICARE
PA
01
—
KX54
CAREFIRST MD BCBS
MD
01
—
S1E9
GEISINGER PCP
PA
Enumeration date
11/30/2006
Last updated
08/10/2010
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