| Lancaster General Hospital | |
|
317 S. Chestnut St. Lancaster PA 17566-8635 | |
| (717) 786-7383 | |
| (717) 786-8635 |
| Full Name | Lancaster General Hospital |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 317 S. Chestnut St., Lancaster, Pennsylvania |
| Authorized Official Name and Position | Gary A Welch (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 7175445658 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lancaster General Hospital 555 N. Duke St. Lancaster PA 17602 Ph: (717) 544-5511 | Lancaster General Hospital 317 S. Chestnut St. Lancaster PA 17566-8635 Ph: (717) 786-7383 |
| NPI Number | 1154417855 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 04/25/2025 |
| Certification Date | 04/25/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154417855 | NPI | - | NPPES |
| 001904610 | Other | PA | HIGHMARK BLUE SHIELD |
| 100771175 0080 | Medicaid | PA | |
| 2288603000 | Other | PA | AMERIHEALTH 65 |
| 100771175 0005 | Medicaid | PA | |
| 50055738 | Other | PA | CAPITAL BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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