1578587986 NPI number — YORK HOSPITAL

Table of content: (NPI 1578587986)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578587986 NPI number — YORK HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
YORK HOSPITAL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
WELLSPAN YORK HOSPITAL INPATIENT PSYCH UNIT
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1578587986
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/29/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
785 5TH AVE STE 3
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CHAMBERSBURG
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17201-4232
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-263-9555
Provider Business Mailing Address Fax Number:
717-709-6529

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1001 S GEORGE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
YORK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17403-3676
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-851-2345
Provider Business Practice Location Address Fax Number:
717-851-3020
Provider Enumeration Date:
07/27/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
DIAMOND
Authorized Official First Name:
VICTORIA
Authorized Official Middle Name:
Authorized Official Title or Position:
SR VP
Authorized Official Telephone Number:
717-851-3464

Provider Taxonomy Codes

  • Taxonomy code: 251K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 273R00000X , with the licence number: 250301 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 218968 . This is a "HEALTHAMERICA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 7926 . This is a "GEISINGER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1027680 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1565 . This is a "HIGHMARK" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 000000081356 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0001939000 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 08263 . This is a "HEALTH PARTNERS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1564 . This is a "HIGHMARK" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 000000066409 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0942174000 . This is a "KEYSTONE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 229284 . This is a "MAMSI, ALLIANCE, OPTIMUM" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 39S046 . This is a "CAPITAL BLUE CROSS & KHP" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1001965470030 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 390770 . This is a "BLUE CROSS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 60592 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".