AVALON PRIMARY CARE, PC (NPI# 1023670189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023670189 |
| Entity Type | Organization |
| Organization Name | AVALON PRIMARY CARE, PC |
| Practice Address |
2160 Lincoln Hwy E Ste 1-a4 Lancaster PA 17602-1150 |
| Practice Telephone | 7178998113 |
| Practice Fax Number | 7176172476 |
| Mailing Telephone | 7178998113 |
| Mailing Fax Number | 7176172476 |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2019-06-28 |
| Authorized Official Name | DR. LOUISE RUTH BUTLER (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 7178998113 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
2160 LINCOLN HWY E STE 1-A4 |
| City | LANCASTER |
| State | PA |
| Zip Code | 17602-1150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093313173 | Taylor Giambrone | Registered Nurse | Lgh Nurse Family Partnership, 555 North Duke Street, Lancaster, PA 17602 | 2020-10-12 |
| 1982268843 | Blanche Nichole Breznak | Pharmacist | 201 East Chestnut St, Lancaster, PA 17602 | 2019-04-25 |
| 1285104851 | Stephanie Benedict | Pharmacist | 1603 Lincoln Highway East, Lancaster, PA 17602 | 2018-11-27 |
| 1043709835 | Deborah J Campos-bard, Lmt | Massage Therapist | 439 N. Duke St. 2nd Fl., 2, Lancaster, PA 17602 | 2018-05-07 |
| 1861989493 | Functional Freedom LLC | Occupational Therapist | 105 Heritage Rd., Lancaster, PA 17602 | 2018-04-19 |
| 1083094577 | Gracie Berry | Counselor | 413 Church St, Lancaster, PA 17602 | 2015-06-01 |
| 1366835597 | Holcomb Associates, Inc. | Community/Behavioral Health | 800 New Holland Avenue, Lancaster, PA 17602 | 2015-03-12 |
| 1205236965 | Maria Taylor | Physician Assistant | 555 N Duke Street, Lghp Hospitalists, Lancaster, PA 17602 | 2014-09-01 |
| 1114355104 | Charles Eugene Stream | Physician Assistant | 133 East Fredeick Street, Lancaster, PA 17602 | 2013-10-29 |
| 1710221668 | Kourtney Randsdorp | Occupational Therapist | 105 Heritage Rd, Lancaster, PA 17602 | 2012-11-15 |
| Find all providers in zip 17602 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
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| 1306273750 | Md-first Health Care LLC | Clinic/Center | 1130 Hwy 9 Bypass West, Lancaster, SC 29720-1709 | 2013-10-01 |
| 1134458789 | Lancaster Health Center | Clinic/Center | 304 N. Water Street, Lancaster, PA 17603-3374 | 2009-12-10 |
| 1174620520 | Lancaster One Medical Pa | Clinic/Center | 539 Hwy 9 Bypass E, Lancaster, SC 29720 | 2006-09-20 |
| 1295761492 | Carolina Urgent & Family Care | Clinic/Center | 1130 Highway 9 Byp W, Lancaster, SC 29720-1709 | 2006-06-23 |
| 1528033297 | Fairfield Department of Health | Clinic/Center | 1587 Granville Pike, Lancaster, OH 43130 | 2006-02-17 |
| 1497306179 | Careatc | Clinic/Center | 1042 New Holland Ave, Lancaster, PA 17601-5606 | 2019-09-24 |
| 1831757822 | Sozo Pediatrics | Clinic/Center | 625 Garfield Ave, Lancaster, OH 43130-2432 | 2019-06-04 |
| 1538504899 | Advanced Family Practice PC | Clinic/Center | 600f Eden Rd, Suite F2, Lancaster, PA 17601-4267 | 2013-05-01 |
| 1346582442 | Fairfield Community Health Center | Clinic/Center | 135 N Ewing St, Suite 204, Lancaster, OH 43130-3382 | 2013-03-27 |
| 1619244670 | Care 1st Primary and Urgent Care Center - Lancaster | Clinic/Center | 44426 10th St W, A, Lancaster, CA 93534-3325 | 2011-11-18 |
| Find all providers in LANCASTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.