| Northern Lancaster County Medical Group | |
| 136 A & B Lake Street Ephrata PA 17522-2415 | |
| (717) 721-7718 | |
| (717) 721-7726 | 
| Full Name | Northern Lancaster County Medical Group | 
|---|---|
| Speciality | Family Medicine | 
| Location | 136 A & B Lake Street, Ephrata, Pennsylvania | 
| Authorized Official Name and Position | Charles David Noll (VICE PRESIDENT) | 
| Authorized Official Contact | 7178595161 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Northern Lancaster County Medical Group 136 Lake St Ephrata PA 17522-2415 Ph: (717) 721-7718 | Northern Lancaster County Medical Group 136 A & B Lake Street Ephrata PA 17522-2415 Ph: (717) 721-7718 | 
| NPI Number | 1346344561 | 
|---|---|
| Provider Enumeration Date | 09/08/2006 | 
| Last Update Date | 10/15/2015 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1346344561 | NPI | - | NPPES | 
| DD6938 | Other | PA | RAILROAD MEDICARE | 
| 1013977730008 | Medicaid | PA | |
| 1746343 | Other | PA | BLUE SHIELD | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary | 
| Northern Lancaster County Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4131 Oregon Pike, Ephrata, PA 17522 Phone: 717-859-1123 Fax: 717-859-2898 | |
| Pinnacle Health Medical Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4229 Oregon Pike, Ephrata, PA 17522 Phone: 717-445-4371 Fax: 717-445-4767 | |
| Northern Lancaster County Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 808 Pleasantview Dr, Ephrata, PA 17522 Phone: 717-733-6518 Fax: 717-733-8613 | |
| Northern Lancaster County Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 808 Pleasantview Dr, Ephrata, PA 17522 Phone: 717-733-9090 Fax: 717-733-8982 | |
| Ephrata Community Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-733-0311 | |
| Wellspan Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-738-6414 | |
| Wellspan Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 808 Pleasantview Dr, Ephrata, PA 17522 Phone: 717-733-9090 Fax: 717-733-8982 |