Organization Name: | WELLSPAN MEDICAL GROUP |
NPI Number: | 1538266598 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMY F WILKINSON (CREDENTIALING COORDINATOR) |
Mailing Address: | 450 S Washington St Suite B Gettysburg |
State: | PA US |
Postal Code: | 173252500 |
Phone Number: | 7173374492 |
Fax Number: | 7173374324 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 08/10/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |