WELLSPAN FAMILY & SPORTS MEDICINE-COCALICO
NPI 1215257050
Clinic/Center - Primary Care in Reinholds, PA

Active since June 03, 2010CLIA 39D0907812 · Microscopy
30 W. SWARTZVILLE ROAD, SUITE 1, REINHOLDS, PA 17569(717) 484-4347(717) 484-0968 Get Directions Write a Review

NPPES record last updated: June 15, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Wellspan Family & Sports Medicine-cocalico NPPES

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

WELLSPAN FAMILY & SPORTS MEDICINE-COCALICO (NPI 1215257050) is a healthcare organization registered as a primary care in Reinholds, Pennsylvania and active in the NPI registry since June 2010. The organization holds a CLIA Microscopy certificate valid through October 22, 2027 and lists Charles David Noll, Vice President, as its authorized official.

NPPES Registry Identity

NPI1215257050
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameNORTHERN LANCASTER COUNTY MEDICAL GROUP
Location Address30 W. SWARTZVILLE ROAD, SUITE 1Reinholds, PA 17569
Mailing Address4131 Oregon Pike, Suite CEphrata, PA 17522-9550 · (717) 859-5161 · Fax (717) 859-5169
Fax(717) 484-0968
Organization SubpartNo
Authorized OfficialCharles David NollVice President · (717) 859-5161
Enumeration DateJune 3, 2010
Last NPPES UpdateJune 15, 2015
NPI 1215257050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedFamily MedicineTaxonomy 207Q00000X
30 W. SWARTZVILLE ROAD, Reinholds, PA 17569

Other Names 1

Doing Business AsWellspan Family & Sports Medicine-cocalico

Other Identifiers 2

Medicare PIN092914
Medicaid1013977730024PA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 for Provider-Performed Microscopy Procedures (PPMP) 39D0907812

Wellspan Family Medicine - Cocalico · Reinholds, PA
Active · expires Oct 22, 2027
CLIA Number39D0907812
Laboratory TypePhysician Office
Certificate Effective DateOctober 23, 2025
Certificate Expiration DateOctober 22, 2027
Laboratory DirectorDr. Rajiv Kalra
Laboratory Phone(717) 484-4347
Laboratory LocationWellspan Family Medicine - Cocalico30 W Swartzville Road, Reinholds, PA 17569
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

Family Medicine
30 W. SWARTZVILLE ROAD
REINHOLDS, PA 17569

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 Northern Lancaster County Medical Group's NPI number?

The NPI number for Northern Lancaster County Medical Group is 1215257050. It was assigned to this organization in the NPPES registry on June 3, 2010. The provider is doing business as Wellspan Family & Sports Medicine-Cocalico.

Where is Northern Lancaster County Medical Group located?

Northern Lancaster County Medical Group is located at 30 W. Swartzville Road Suite 1, Reinholds, PA 17569. The listed phone number is (717) 484-4347.

What is Northern Lancaster County Medical Group's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Northern Lancaster County Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 39D0907812) is associated with this NPI, valid through October 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Northern Lancaster County Medical Group was last updated on June 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.