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Masonic Villages of the Grand Lodge of Pennsylvania

Skilled Nursing Facility in Elizabethtown, PA · enumerated 2012 · authorized official Pamela Formica, Chief Financial Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1720332653

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Registry record

Entity type Organization (Type 2)
Legal business name Masonic Villages of the Grand Lodge of Pennsylvania
Other name <Unavail>
Practice address 581 Freemason Dr, Elizabethtown, PA, 17022
Phone (717) 367-1121
Fax (717) 367-5813
Enumeration date Oct 30, 2012
Last updated in NPPES May 1, 2023

Taxonomy & classification

103T00000X Psychologist Behavioral Health & Social Service Providers Secondary
122300000X Dentist Dental Providers Secondary
152W00000X Optometrist Eye and Vision Services Providers Secondary
207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Secondary
213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers Secondary
314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 131502 (PA) Primary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Pamela Formica
Title Chief Financial Officer
Phone (717) 367-1121

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-05-01. Verify at npiregistry.cms.hhs.gov.
Where is Masonic Villages of the Grand Lodge of Pennsylvania located?
The practice location on file with NPPES is in Elizabethtown, PA.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-05-01.