Provider Demographics
NPI:1265466957
Name:THE GETTYSBURG HOSPITAL
Entity Type:Organization
Organization Name:THE GETTYSBURG HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:COGLIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-337-4110
Mailing Address - Street 1:785 5TH AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4232
Mailing Address - Country:US
Mailing Address - Phone:717-263-9555
Mailing Address - Fax:717-709-6549
Practice Address - Street 1:147 GETTYS STREET
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325
Practice Address - Country:US
Practice Address - Phone:717-334-2121
Practice Address - Fax:717-337-4142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261Q00000X, 261QA1903X
PA01300100282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD260065OtherMD IPA
PA69700Medicaid
PA116466100OtherW/C -REGULAR FED EMPLOYEE
PA036023699OtherW/C ENERGY EMPLOYEE ONLY
PA1500515Medicaid
PA1550OtherHIGHMARK BLUE SHIELD
PA260065OtherMAMSI
MD000625400Medicaid
PA260065OtherALLIANCE PPO
PA390065OtherCAPITAL BLUE CROSS
PA56729Medicaid
PA100759018Medicaid
PA260065OtherOPTIMUM CHOICE
PA60722Medicaid
PA02X9GEOtherCAREFIRST B/C. 568663-01
PA036023600OtherFEDERAL BLACK LUNG
PA260065OtherALLIANCE PPO
PA390065Medicare ID - Type Unspecified