WELLSPAN FAMILY MEDICINE-LAKE STREET – NPI #1346344561
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

WELLSPAN FAMILY MEDICINE-LAKE STREET is a provider located in EPHRATA, PA. NPPES has assigned the NPI number 1346344561 to WELLSPAN FAMILY MEDICINE-LAKE STREET on September 08, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WELLSPAN FAMILY MEDICINE-LAKE STREET” is a dba name, the actual legal business name for this organization is NORTHERN LANCASTER COUNTY MEDICAL GROUP. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 11 years ago on Oct 15, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WELLSPAN FAMILY MEDICINE-LAKE STREET below.

NPI Profile for
NORTHERN LANCASTER COUNTY MEDICAL GROUP

NPI Number
1346344561
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTHERN LANCASTER COUNTY MEDICAL GROUP
Doing Business As (dba): WELLSPAN FAMILY MEDICINE-LAKE STREET
Primary location
136 A & B LAKE STREET
EPHRATA, PA 17522-2415
Phone: (717) 721-7718 Fax: (717) 721-7726
Mailing address
136 LAKE ST
EPHRATA, PA 17522-2415
Phone: (717) 721-7718 Fax: (717) 721-7726
Organization Subpart
No
Authorized Official
CHARLES NOLL
VICE PRESIDENT
Phone: (717) 859-5161
Updated
Identifiers

Identifiers for WELLSPAN FAMILY MEDICINE-LAKE STREET

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE SHIELDPA1746343
OTHERRAILROAD MEDICAREPADD6938
MEDICAIDPA1013977730008
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.