Organization
WELLSPAN MEDICAL GROUP
Active
Other names
Adams County Women's Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMY F WILKINSON (CREDENTIALING COORDINATOR)
(717) 851-1405
Entity
Organization
Contact information
Practice address
450 S WASHINGTON ST, SUITE B, GETTYSBURG, PA 17325-2500
(717) 337-4492
(717) 337-4324
Mailing address
1803 MOUNT ROSE AVE, SUITE B3, YORK, PA 17403-3051
(717) 851-1405
(717) 337-4324
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02530300
CAPITAL BLUE CROSS
PA
05
—
1007721360138
—
PA
01
—
115409
UNISON
PA
01
—
1382358
HIGHMARK
PA
01
—
1520724
GATEWAY
PA
01
—
20013079
AMERIHEALTH MERCY
PA
01
—
2073725002
AMERIHEALTH 65 PA
PA
01
—
336T
GEISINGER
PA
05
—
401065500
—
MD
01
—
7596360
AETNA
PA
01
—
800174
JOHN HOPKINS
PA
01
—
KX03
CAREFIRST
MD
Enumeration date
09/20/2006
Last updated
08/10/2010
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