✓ Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center (261QM0850X) ✓ HHS OIG Screened Clear 🏢 Entity Type 2 (Organization)

717 HEALTH LLC (NPI #1891559522)

Clinic/Center, Adult Mental Health • LANCASTER, PA • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1891559522
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
261QM0850X
Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center
Box 32 Service Location & ZIP+4
1604 LITITZ PIKE, LANCASTER, PA, 17601-6534
✓ 9-Digit EDI 837 ZIP+4 (17601-6534)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1891559522 (717 HEALTH LLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1891559522 (NPI-2 Organization / Facility)
Provider / Legal Name717 HEALTH LLC
Plain-English SpecialtyLicensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center
NUCC Code: 261QM0850X (Clinic/Center, Adult Mental Health)
Certifying / Licensing BodyAccreditation Association for Ambulatory Health Care (AAAHC) / CMS
Practice Location Address1604 LITITZ PIKE, LANCASTER, PA, 17601-6534
Practice Telephone / FaxTel: (717) 818-5462
Administrative Mailing Address1604 LITITZ PIKE, LANCASTER, PA, 17601-6534
Enumeration & Last SyncEnumerated: 2024-02-13 | CMS Record Updated: 2024-03-18
Authorized OfficialJESSICA BRUNNER (Executive Director)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1604 LITITZ PIKE, LANCASTER, PA, 17601-6534

🗺️ Open in Google Maps 🏥 More Providers in LANCASTER

Plain-English Taxonomy & CMS Crosswalk (261QM0850X)

What Does Taxonomy Code 261QM0850X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 261QM0850X translates to:
"Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: Accreditation Association for Ambulatory Health Care (AAAHC) / CMS
Clinical Scope: Same-day outpatient consultations, urgent walk-in medical care, vaccinations, and day-case diagnostic procedures.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (717 HEALTH LLC)

Typical CPT / Diagnostic Procedures:
  • Walk-In Urgent Care Evaluation, Point-of-Care Testing & X-Ray
  • Same-Day Ambulatory Endoscopy, Cataract & Minor Surgical Procedures
Common Therapeutic Classes:
  • Outpatient Oral Antimicrobials, Analgesics, Nebulizers & Vaccines

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
261QM0850X — Clinic/Center, Adult Mental Health
Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center
State: N/A | License: Verified | Primary: Yes (Primary)
261QR0405X — Clinic/Center, Rehabilitation, Substance Use Disorder
Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center
State: N/A | License: Verified | Primary: Secondary
Medical Billing, RCM & Hospital Credentialing Teams:
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