WELSH MOUNTAIN HEALTH CENTERS (NPI# 1730488388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730488388 |
| Entity Type | Organization |
| Organization Name | WELSH MOUNTAIN HEALTH CENTERS |
| Other Organization Name | LEBANON RIDGE COMMUNITY HEALTH |
| Practice Address |
840 Norman Dr Lebanon PA 17042-7444 |
| Mailing Address |
584 Springville Rd New Holland PA 17557-9564 |
| Practice Telephone | 7172722700 |
| Practice Fax Number | 7172722757 |
| Mailing Telephone | (717) 354-4711 |
| Mailing Fax Number | 7173540284 |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2017-09-29 |
| Authorized Official Name | JACQUELINE CONCEPCION (CEO) |
| Authorized Official Telephone | 7173544711 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 100761419 | 05 |
| Other Name | Type Code |
|---|---|
| Lebanon Ridge Community Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578024196 | Welsh Mountain Health Centers | Family Medicine | 240 Main St, Denver, PA 17517-1623 | 2019-03-27 |
| 1841785607 | Welsh Mountain Health Centers | Family Medicine | 920 Church Street, Lebanon, PA 17046 | 2018-06-25 |
| 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 |
| 1649690728 | Welsh Mountain Health Centers | Dentist | 101 S 9th St, Lebanon, PA 17042-5108 | 2014-04-16 |
| 1710323001 | Welsh Mountain Health Centers | Dentist | 101 S 9th St, Lebanon, PA 17042-5108 | 2013-05-14 |
| 1942437991 | Welsh Mountain Health Centers | Clinic/Center | 435 S Kinzer Ave, Suite # 6, New Holland, PA 17557-8706 | 2009-06-17 |
| 1184673790 | Welsh Mountain Health Centers | Clinic/Center | 584 Springville Rd, New Holland, PA 17557-9564 | 2006-05-09 |
| Street Address |
840 NORMAN DR |
| City | LEBANON |
| State | PA |
| Zip Code | 17042-7444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417029398 | Joseph Jude Walden | Family Medicine | 840 Norman Dr, Lebanon, PA 17042-7444 | 2006-11-15 |
| 1053513168 | Madhukar R Patel | Specialist | 840 Norman Dr, Lebanon, PA 17042-7444 | 2007-06-01 |
| 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 | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659919272 | Cumberland Family Medical Center, Inc. | Clinic/Center | 311 W High Street, Lebanon, KY 40033-1427 | 2019-12-13 |
| 1275192031 | Cumberland Family Medical Center, Inc. | Clinic/Center | 1155 Hwy 327, Lebanon, KY 40033-9297 | 2019-06-06 |
| 1477101822 | Family First Health Corporation | Clinic/Center | 300 Willow St, Lebanon, PA 17046-4871 | 2019-08-29 |
| 1437718293 | Cumberland Family Medical Center, Inc. | Clinic/Center | 735 E Main St, Lebanon, KY 40033-1701 | 2019-06-06 |
| 1164081923 | Cumberland Family Medical Center, Inc. | Clinic/Center | 3345 Highway 208, Lebanon, KY 40033-9487 | 2019-06-06 |
| 1154980902 | Cumberland Family Medical Center, Inc. | Clinic/Center | 420 W Main St, Lebanon, KY 40033-1363 | 2019-06-06 |
| 1316506165 | Cumberland Family Medical Center, Inc. | Clinic/Center | 773 E Main St, Lebanon, KY 40033-1701 | 2019-06-06 |
| 1083273841 | Cumberland Family Medical Center, Inc. | Clinic/Center | 200 Corporate Dr, Lebanon, KY 40033-1708 | 2019-06-06 |
| 1851890107 | Aspire Indiana Health Inc | Clinic/Center | 1600 W Main St, Lebanon, IN 46052-2388 | 2018-02-01 |
| 1689045981 | Advocates for A Healthy Community Inc | Clinic/Center | 860 Lynn St, Lebanon, MO 65536-3810 | 2015-10-13 |
| Find all providers in LEBANON | ||||
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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.