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Organization
WELLSPAN MEDICAL GROUP
Active
Organization
WELLSPAN MEDICAL GROUP
Active
Other names
Gettysburg Hospitalists
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY F WILKINSON (CREDENTIALING COORDINATOR)
(717) 851-1405
Entity
Organization
Contact information
Practice address
147 GETTYS ST, GETTYSBURG, PA 17325-2534
(717) 339-2025
(717) 339-2011
Mailing address
1803 MOUNT ROSE AVE, SUITE B3, YORK, PA 17403-3051
(717) 851-1405
(717) 339-2011
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208M00000X
Hospitalist Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007721360249
—
PA
01
—
1551482
GATEWAY
PA
01
—
175372
UNISON
PA
01
—
1789770
HIGHMARK BLUE SHIELD
PA
01
—
20048461
AMERIHEALTH MERCY
PA
01
—
2631128001
AMERIHEALTH 65PA
PA
01
—
271J
GEISINGER
PA
01
—
401065509
MD MEDICAL ASSISTANCE
MD
01
—
50055993
CAPITAL BLUE CROSS
PA
01
—
7726910
AETNA
PA
01
—
CA3246
RAILROAD MEDICARE
PA
01
—
KX54
CAREFIRST MD BC/BS
PA
Enumeration date
10/31/2006
Last updated
08/10/2010
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