Wellspan Family Medicine - Elco

LBN: Good Samaritan Physician Services
Wellspan Family Medicine - Elco is an health care organization with primary practice located at 6 Perri Ave , Myerstown PA 17067-3200. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Good Samaritan Physician Services can be contacted via phone (717) 949-6581, or through Boger, Jody M via phone (717) 270-7780.

Contact Information

Primary practice address
6 Perri Ave Myerstown PA 17067-3200
Phone: (717) 949-6581
Fax: (717) 949-2816
Website:
Map and Directions
Authorized official contact:
Name: Boger, Jody M
Phone: (717) 270-7780

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1760510424
LBN Legal business name Good Samaritan Physician Services
DBA Doing business as Wellspan Family Medicine - Elco
Authorized official Boger, Jody M
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2007
Last updated Oct 4th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760510424 NPPES
Pennsylvania MEDICAID 001864024

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