1699798942 NPI number — YORK HOSPITAL

Table of content: (NPI 1699798942)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699798942 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 DIALYSIS - LITTLESTOWN
Provider Other Organization Name Type Code:
3
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:
1699798942
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/20/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3350 WHITEFORD RD
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:
17402-9081
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-851-5581
Provider Business Mailing Address Fax Number:
717-851-3446

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
43 SOUTH COLUMBUS AVE SUITE 100
Provider Second Line Business Practice Location Address:
WELLSPAN DIALYSIS - LITTLESTOWN
Provider Business Practice Location Address City Name:
LITTLESTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17340
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-359-8110
Provider Business Practice Location Address Fax Number:
717-359-8920
Provider Enumeration Date:
07/26/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
O'CONNOR
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
F
Authorized Official Title or Position:
SR VP - FINANCE
Authorized Official Telephone Number:
717-851-2123

Provider Taxonomy Codes

  • Taxonomy code: 261QE0700X , 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: 393505 . This is a "MEDICARE" 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".
  • Identifier: 000000056673 , 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: 390046 . This is a "CAPITAL BLUE CROSS & KHP" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 390770 . This is a "BLUE CROSS" 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: 08263 . This is a "HEALTH PARTNERS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 676462 . This is a "AETNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 218968 . This is a "HEALTHAMERICA" 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: 0942174000 . This is a "KEYSTONE" 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".