1376548610 NPI number — THE COUNTY OF LANCASTER

Table of content: (NPI 1376548610)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376548610 NPI number — THE COUNTY OF LANCASTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE COUNTY OF LANCASTER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1376548610
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/09/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
150 N QUEEN ST STE 610
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LANCASTER
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17603-1805
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-399-7376
Provider Business Mailing Address Fax Number:
717-295-3680

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
750 EDEN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LANCASTER
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17601-4712
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-393-0421
Provider Business Practice Location Address Fax Number:
717-299-7968
Provider Enumeration Date:
06/14/2005

Additional Information

Authorized Official

Authorized Official Last Name:
WATTS
Authorized Official First Name:
ERIN
Authorized Official Middle Name:
Authorized Official Title or Position:
FISCAL DIRECTOR
Authorized Official Telephone Number:
717-399-7376

Provider Taxonomy Codes

  • Taxonomy code: 251B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1007577200028 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




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