WELLSPAN MEDICAL GROUP
NPI 1558914242
Clinic/Center - Urgent Care in Manchester, PA
NPI Status: Active since July 22, 2019
Contact Information
4050 N GEORGE STREET EXT
MANCHESTER, PA
ZIP 17345
Phone: (717) 356-4370
Fax: (717) 260-3316
NPPES record last updated: July 22, 2019. Verified against the NPPES registry weekly; last sync: July 12, 2026.
- Organization
- Clinic/Center
- Urgent Care
- CLIA Number: 39D2177025
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-01-2026
About WELLSPAN MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Wellspan Medical Group, a provider established in Manchester, Pennsylvania operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1558914242 assigned on July 2019. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Wellspan Medical Group operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Juliann Diaz (Credentialing Supervisor)
- NPI
- 1558914242
- Provider Name
- WELLSPAN MEDICAL GROUP
- Entity Type
- Organization
- Location Address
- 4050 N GEORGE STREET EXT MANCHESTER, PA 17345
- Location Phone
- (717) 356-4370
- Location Fax
- (717) 260-3316
- Mailing Address
- 3421 CONCORD RD YORK, PA 17402
- Mailing Phone
- (717) 851-1405
- Mailing Fax
- (717) 260-3316
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-22-2019
- Last Update Date
- 07-22-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Urgent Care
- Taxonomy Code
- 261QU0200X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | |
| 2 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 3 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 39D2177025
- Facility Type
- Physician Office
- Certificate Effective Date
- January 02, 2024
- Certificate Expiration Date
- January 01, 2026
- Laboratory Director
- DR. CRESTON TATE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Wellspan Medical Group to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for WELLSPAN MEDICAL GROUP
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1558914242, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
MANCHESTER, PA 17345
MANCHESTER, PA 17345
MANCHESTER, PA 17345
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558914242, enumerated as an "organization" on July 22, 2019.
The provider is located at 4050 N GEORGE STREET EXT MANCHESTER, PA 17345 and the phone number is (717) 356-4370.
Clinic/Center with taxonomy code 261QU0200X and a focus in Urgent Care.
