# GREENCASTLE FAMILY PRACTICE PC

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

## Provider details

- **NPI number:** 1629009295
- **Authorized official:** MRS. JENNIFFER LEE SHOWALTER (EXECUTIVE ASSISTANT)
- **Authorized official phone:** (223) 465-2025

## Contact information

- **Practice address:** 50 EASTERN AVE, STE 135, GREENCASTLE, PA 17225-1100
- **Practice address phone:** (717) 597-3151
- **Practice address fax:** (717) 597-8933
- **Mailing address:** 50 EASTERN AVE, STE 135, GREENCASTLE, PA 17225-1100
- **Mailing address phone:** (717) 597-3151
- **Mailing address fax:** (717) 597-8933

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/05/2006
- **Last updated:** 01/24/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10744525 | — | PA |