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Organization
WELLSPAN MEDICAL GROUP
Active
Organization
WELLSPAN MEDICAL GROUP
Active
Other names
WELLSPAN FAMILY MEDICINE - CHANCEFORD
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER SWEITZER (DIRECTOR- PFS)
(717) 851-6838
Entity
Organization
Contact information
Practice address
10 MUDDY CREEK FORKS RD STE 3, BROGUE, PA 17309-9400
(717) 812-5020
(717) 461-7144
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1582575
GATEWAY-WMG
PA
01
—
20092059
AMERIHEALTH MERCY
PA
01
—
2113209
HIGHMARK BLUE SHIELD
PA
01
—
2726732
UNISON-WMG
PA
01
—
50087932
CAPITAL BLUE CROSS
PA
01
—
DCF8
CAREFIRST MD BCBS
MD
Enumeration date
07/07/2009
Last updated
09/15/2025
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