Organization
WELLSPAN MEDICAL GROUP
Active
Other names
WellSpan Good Samaritan Hospital Emergency Services
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA FRANK (CREDENTIALING MANAGER)
(717) 851-6832
Entity
Organization
Contact information
Practice address
252 S 4TH ST, LEBANON, PA 17042-6111
(717) 851-1405
(717) 851-6969
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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