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Organization
WELLSPAN MEDICAL GROUP
Active
Organization
WELLSPAN MEDICAL GROUP
Active
Other names
WELLSPAN FAMILY MEDICINE - VALLEY GREEN
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER SWEITZER (DIRECTOR- PFS)
(717) 851-6838
Entity
Organization
Contact information
Practice address
1790 OLD TRAIL RD STE A, ETTERS, PA 17319-9652
(717) 938-6588
(717) 938-9601
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02318100
CAPITAL BLUE CROSS
PA
05
—
1007721360133
—
PA
01
—
1325425
HIGHMARK BLUE SHIELD
PA
01
—
1519864
GATEWAY
PA
01
—
20010015
AMERIHEALTH MERCY
PA
01
—
2018600001
AMERIHEALTH 65 PA
PA
01
—
7293846
AETNA
PA
01
—
800174
JOHN HOPKINS
PA
01
—
CA3246
RAILROAD MEDICARE
PA
01
—
KX10
CAREFIRST MD BCBS
MD
01
—
S1E3
GEISINGER
PA
Enumeration date
11/30/2006
Last updated
03/20/2026
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