1265466957 NPI number — THE GETTYSBURG HOSPITAL

Table of content: (NPI 1265466957)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1265466957 NPI number — THE GETTYSBURG HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE GETTYSBURG 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:
Provider Other Organization Name Type Code:
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:
1265466957
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:
717-709-6549

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
147 GETTYS STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GETTYSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17325
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-334-2121
Provider Business Practice Location Address Fax Number:
717-337-4142
Provider Enumeration Date:
07/10/2006

Additional Information

Authorized Official

Authorized Official Last Name:
COGLIANO
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
Authorized Official Title or Position:
VP OPERATIONS
Authorized Official Telephone Number:
717-337-4110

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 261QA1903X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 282N00000X , with the licence number: 01300100 , 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: 260065 . This is a "MD IPA" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".
  • Identifier: 69700 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 116466100 . This is a "W/C -REGULAR FED EMPLOYEE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 036023699 . This is a "W/C ENERGY EMPLOYEE ONLY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1500515 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1550 . This is a "HIGHMARK BLUE SHIELD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 260065 . This is a "MAMSI" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 000625400 , issued by the state of ( MD ) . This identifiers is of the category "MEDICAID".
  • Identifier: 260065 . This is a "ALLIANCE PPO" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 390065 . This is a "CAPITAL BLUE CROSS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 56729 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 100759018 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 260065 . This is a "OPTIMUM CHOICE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 60722 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 02X9GE . This is a "CAREFIRST B/C. 568663-01" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 036023600 . This is a "FEDERAL BLACK LUNG" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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