Provider Demographics
NPI:1366472706
Name:THE GETTYSBURG HOSPITAL
Entity Type:Organization
Organization Name:THE GETTYSBURG HOSPITAL
Other - Org Name:WELLSPAN GETTYSBURG HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP, PRESIDENT THE GETTYSBURG HOSP
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:717-337-8324
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:717-709-6529
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?:Yes
Parent Organization LBN:THE GETTYSBURG HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-03
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207L00000X, 207P00000X, 207ZP0105X, 367500000X
PA01300100207RC0000X, 207RI0200X, 207V00000X, 207ZP0105X, 208000000X, 2083P0901X, 2084P0800X, 208VP0000X, 261QM2500X, 291U00000X, 261QE0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency CareGroup - Single Specialty
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
No207ZP0105XAllopathic & Osteopathic PhysiciansPathologyClinical Pathology/Laboratory MedicineGroup - Multi-Specialty
No367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified RegisteredGroup - Multi-Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Single Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Single Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical SpecialtyGroup - Single Specialty
No291U00000XLaboratoriesClinical Medical LaboratoryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1007590180048Medicaid
PA1384983OtherNEUROLOGY PROFESS
PA56471Medicaid
PA56472Medicaid
PACC4974OtherRAILROAD MEDICARE
PA1377739OtherPATHOLOGY PROFESS
PW1378032OtherANESTHESIA CRNA PROFESS
PA1472553OtherANESTHESIOLOGIST PROFESS
PA1384983OtherNEUROLOGY PROFESS
PA56471Medicaid