LEBANON FAMILY HEALTH SERVICE INC. (NPI# 1255428488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255428488 |
| Entity Type | Organization |
| Organization Name | LEBANON FAMILY HEALTH SERVICE INC. |
| Practice Address |
615 Cumberland St Lebanon PA 17042-5233 |
| Practice Telephone | 7172736741 |
| Practice Fax Number | 7172736337 |
| Mailing Telephone | 7172736741 |
| Mailing Fax Number | 7172736337 |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2016-02-22 |
| Authorized Official Name | DONNA WILLIAMS (VICE PRESIDENT OPERATIONS) |
| Authorized Official Telephone | 7172736741 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | PA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK BLUE SHIELD | 656355 | 01 |
| PA | CAPITAL BLUE CROSS | 02821900 | 01 |
| PA | GATEWAY HEALTH PLAN | 1503082 | 01 |
| PA | 0007146120003 | 05 |
| Street Address |
615 CUMBERLAND ST |
| City | LEBANON |
| State | PA |
| Zip Code | 17042-5233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487647756 | Kathleen Jesiolowski | Nurse Practitioner | 615 Cumberland St, Lebanon, PA 17042-5233 | 2005-08-23 |
| 1417589458 | Stephannie Tamayo | Counselor | 615 Cumberland St, Lebanon, PA 17042-5233 | 2020-02-07 |
| 1275018160 | Sexual Assault Resource & Counseling Center of Lebanon & Sch | Social Worker | 615 Cumberland St, Lebanon, PA 17042-5233 | 2018-09-26 |
| 1134644180 | Mark Wayne Collins | Nurse Practitioner | 615 Cumberland St, Lebanon, PA 17042-5233 | 2017-08-11 |
| 1457871873 | Welsh Mountain Health Centers | Clinic/Center | 615 Cumberland St, Lebanon, PA 17042-5233 | 2017-06-27 |
| 1780121822 | Welsh Mountain Health Centers | Clinic/Center | 615 Cumberland St, Lebanon, PA 17042-5233 | 2017-01-27 |
| 1316308414 | Nakeeshia Essex Greene | Counselor | 615 Cumberland St, Lebanon, PA 17042 | 2016-03-16 |
| 1720342520 | Natalie Anne Wittes | Nurse Practitioner | 615 Cumberland St, Lebanon, PA 17042-5233 | 2012-06-27 |
| 1548532211 | Marilyn Ann Boogaard | Nurse Practitioner | 615 Cumberland St, Lebanon, PA 17042-5233 | 2012-01-27 |
| 1477567592 | Lisa S Gehenio | Nurse Practitioner | 615 Cumberland St, Lebanon, PA 17042-5233 | 2006-07-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
| 1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
| 1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
| 1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| Find all providers in zip 17042 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689216137 | Ourhealth Physicians Group, LLC | Clinic/Center | 635 Genesco Pkwy, Lebanon, TN 37090-7011 | 2019-10-16 |
| 1710155031 | Harris Eye Care | Clinic/Center | 300 Countryside Dr, Lebanon, OH 45036-7865 | 2008-02-20 |
| 1255406450 | Bradshaw Medical Clinic, PC | Clinic/Center | 1409 W. Baddour Pkwy, Suite D, Lebanon, TN 37087-2599 | 2006-11-22 |
| 1649740242 | Best Care Services | Clinic/Center | 1405 W Baddour Pkwy, Lebanon, TN 37087-2567 | 2018-11-27 |
| 1215447354 | Joy of Health Naturopathic Clinic | Clinic/Center | 835 Garvord St, Lebanon, OR 97355-3804 | 2017-10-03 |
| 1457871873 | Welsh Mountain Health Centers | Clinic/Center | 615 Cumberland St, Lebanon, PA 17042-5233 | 2017-06-27 |
| 1780121822 | Welsh Mountain Health Centers | Clinic/Center | 615 Cumberland St, Lebanon, PA 17042-5233 | 2017-01-27 |
| 1780022855 | Anycare LLC | Clinic/Center | 702 S Cumberland St, Lebanon, TN 37087-4110 | 2013-06-11 |
| 1023375284 | Employment & Assessment Solutions, Inc. | Clinic/Center | 1037 W Main St, Suite A, Lebanon, TN 37087-3355 | 2012-04-12 |
| 1730488388 | Welsh Mountain Health Centers | Clinic/Center | 840 Norman Dr, Lebanon, PA 17042-7444 | 2011-03-22 |
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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.