| Northern Lancaster Medical Group | |
|
770 Broad Street Terre Hill PA 17581-0130 | |
| (717) 445-4576 | |
| (717) 445-4483 |
| Full Name | Northern Lancaster Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 770 Broad Street, Terre Hill, 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 Medical Group 4131 Oregon Pike Suite C Ephrata PA 17522 Ph: (717) 859-5171 | Northern Lancaster Medical Group 770 Broad Street Terre Hill PA 17581-0130 Ph: (717) 445-4576 |
| NPI Number | 1427065457 |
|---|---|
| Provider Enumeration Date | 08/02/2006 |
| Last Update Date | 08/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427065457 | NPI | - | NPPES |
| 1746284 | Other | PA | BLUE SHIELD |
| DD6938 | Other | PA | RAILROAD MEDICARE |
| 1013977730002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |