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Organization

WELLSPAN MEDICAL GROUP

Active
Other names
WellSpan Urgent Care
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CHRISTINA MOON (CREDENTIALING SUPERVISOR)
(717) 851-1404
Entity
Organization

Contact information

Practice address
455 S WASHINGTON ST, STE 12, GETTYSBURG, PA 17325-2516
(717) 339-2875
(717) 334-3921
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-1405

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
261QU0200X
Urgent Care Clinic/Center
Primary
363L00000X
Nurse Practitioner
363LA2100X
Acute Care Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100772136
PA
01
F561
CAREFIRST MD BCBS
MD
Enumeration date
09/26/2008
Last updated
08/29/2017
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