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WELLSPAN OCCUPATIONAL HEALTH
NPI 1205308954
Preventive Medicine - Occupational Medicine in Lebanon, PA

Active since December 19, 2018CLIA 39D2155126 · Waiver
717 S 8TH ST, LEBANON, PA 17042(717) 270-2336(717) 639-2741 Get Directions Write a Review

NPPES record last updated: February 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 25, 2022, Dec 19, 2018 (2 updates tracked since 2018).

About Wellspan Occupational Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WELLSPAN OCCUPATIONAL HEALTH (NPI 1205308954) is a healthcare organization registered as an occupational medicine in Lebanon, Pennsylvania and active in the NPI registry since December 2018. The organization holds a CLIA Waiver certificate valid through September 24, 2026 and lists Laura Frank, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1205308954
Entity TypeOrganization
Primary Taxonomy2083X0100X
Legal Business NameWELLSPAN MEDICAL GROUP
Location Address717 S 8TH STLebanon, PA 17042-6721
Mailing Address717 S 8th StLebanon, PA 17042-6721 · (717) 270-2336 · Fax (717) 639-2741
Phone(717) 270-2336
Fax(717) 639-2741
Organization SubpartNo
Authorized OfficialLaura FrankCredentialing Manager · (717) 851-6832
Enumeration DateDecember 19, 2018
Last NPPES UpdateFebruary 25, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2022
✔ NPI 1205308954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Occupational MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083X0100X
Definition
Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability.
717 S 8TH ST, Lebanon, PA 17042
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Other Names 1

Doing Business AsWellspan Occupational Health

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2155126

Wellspan Occupational Health - Lebanon · Lebanon, PA
Active · expires Sep 24, 2026
CLIA Number39D2155126
Laboratory TypePhysician Office
Certificate Effective DateSeptember 25, 2024
Certificate Expiration DateSeptember 24, 2026
Laboratory DirectorDr. Creston Tate
Laboratory Phone(717) 721-4311
Laboratory LocationWellspan Occupational Health - Lebanon717 S 8th Street, Lebanon, PA 17042
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICKE L SPOTTS MD
Family Medicine
717 S 8TH ST
LEBANON, PA 17042
Lebanon County (717) 274-6657
CAROL J HAYES CRNP
Nurse Practitioner (Family)
717 S 8TH ST
LEBANON, PA 17042
Lebanon County (717) 270-2336

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wellspan Medical Group's NPI number?

The NPI number for Wellspan Medical Group is 1205308954. It was assigned to this organization in the NPPES registry on December 19, 2018. The provider is doing business as Wellspan Occupational Health.

Where is Wellspan Medical Group located?

Wellspan Medical Group is located at 717 S 8th St, Lebanon, PA 17042. The listed phone number is (717) 270-2336.

What is Wellspan Medical Group's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Occupational Medicine, with taxonomy code 2083X0100X.

Does Wellspan Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2155126) is associated with this NPI, valid through September 24, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wellspan Medical Group was last updated on February 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.