1669523320 NPI number — THE CHAMBERSBURG HOSPITAL

Table of content: (NPI 1669523320)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669523320 NPI number — THE CHAMBERSBURG HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THE CHAMBERSBURG 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:
6
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:
1669523320
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/03/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
601 MEMORY LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
YORK
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17402-2231
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-851-1405
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
112 N 7TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHAMBERSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17201-1720
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-267-3000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/16/2007

Additional Information

Authorized Official

Authorized Official Last Name:
MASSIMILLA
Authorized Official First Name:
JOHN
Authorized Official Middle Name:
Authorized Official Title or Position:
VP
Authorized Official Telephone Number:
717-267-7139

Provider Taxonomy Codes

  • Taxonomy code: 261Q00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 282N00000X , with the licence number: 036001 , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 1007459700048 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1007459700052 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1007459700061 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1007459700055 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1007459700049 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1007459700053 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1007459700054 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1007459700056 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1007459700050 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1007459700051 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




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