# WELLSPAN MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WELLSPAN FAMILY MEDICINE - THURMONT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881762995
- **Authorized official:** MS. CHRISTINA VEST (CREDENTIALING SUPERVISOR)
- **Authorized official phone:** (717) 851-1405

## Contact information

- **Practice address:** 52 WATER ST, THURMONT, MD 21788-1912
- **Practice address phone:** (301) 271-3535
- **Practice address fax:** (301) 271-2650
- **Mailing address:** 1803 MOUNT ROSE AVE, SUITE B3, YORK, PA 17403-3051
- **Mailing address phone:** (717) 851-1405
- **Mailing address fax:** (301) 271-2650

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/30/2006
- **Last updated:** 01/11/2018