Wellspan Pediatric Medicine - Lebanon
LBN: Good Samaritan Physician Services
Wellspan Pediatric Medicine - Lebanon is an health care organization with primary practice located at 618 Cornwall Rd Building 2, Lebanon PA 17042-7089. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty.
Good Samaritan Physician Services can be contacted via phone (717) 279-6700, or through Boger, Jody M via phone (717) 270-7780.
Contact Information
Primary practice address
618 Cornwall Rd Building 2
Lebanon PA 17042-7089
Phone: (717) 279-6700
Fax: (717) 279-6759
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X |
Profile Details
| NPI number | 1760510523 |
|---|---|
| LBN Legal business name | Good Samaritan Physician Services |
| DBA Doing business as | Wellspan Pediatric Medicine - Lebanon |
| Authorized official | Boger, Jody M |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Oct 5th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760510523 | NPPES |
| Pennsylvania | MEDICAID | 001864024 |
Popular Providers
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Wellspan Medical Group
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