Provider Demographics
NPI: | 1497814040 |
---|---|
Name: | YORK HOSPITAL |
Entity Type: | Organization |
Organization Name: | YORK HOSPITAL |
Other - Org Name: | YORK HOSPITAL COMMUNITY HEALTH CENTER |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | VP |
Authorized Official - Prefix: | |
Authorized Official - First Name: | VICTORIA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | DIAMOND |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 717-851-3464 |
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: | |
Practice Address - Street 1: | 605 S GEORGE ST |
Practice Address - Street 2: | SUITE 200 |
Practice Address - City: | YORK |
Practice Address - State: | PA |
Practice Address - Zip Code: | 17403-3160 |
Practice Address - Country: | US |
Practice Address - Phone: | 717-851-2334 |
Practice Address - Fax: | 717-851-3498 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2006-12-08 |
Last Update Date: | 2022-09-29 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
207Q00000X, 207R00000X, 207RI0200X, 207V00000X, 208000000X, 261Q00000X, 363L00000X | ||
PA | 250301 | 282N00000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 261Q00000X | Ambulatory Health Care Facilities | Clinic/Center | ||
No | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | Group - Single Specialty | |
No | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | Group - Single Specialty | |
No | 207RI0200X | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease | Group - Single Specialty |
No | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Group - Single Specialty | |
No | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | Group - Single Specialty | |
No | 282N00000X | Hospitals | General Acute Care Hospital | Group - Single Specialty | |
No | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Group - Single Specialty |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
PA | 1519306 | Other | GATEWAY IM FP |
PA | 1146406 | Other | AMERIHEALTH OBGYN |
PA | 131294 | Other | UNISON- INF DISEASE |
PA | 1525567 | Other | GATEWAY INFECTI DIS |
PA | 1545723 | Other | GATEWAY PEDS SPEC |
PA | CI1598 | Other | RAILROAD MEDICARE |
PA | S1FF | Other | GEISINGER |
PA | 1001965470074 | Medicaid | |
PA | 20010017 | Other | AMERIHEALTH M PEDSPCP |
PA | 1145646 | Other | AMERIHEALTH IM |
PA | 1519818 | Other | GATEWAY OBGYN |
PA | 20011313 | Other | AMERIHEALTH FP |
PA | 50047702 | Other | CAPITAL BC SPECIALISTS |
PA | 1522646 | Other | GATEWAY PEDS PCP |
PA | 20015753 | Other | AMERIHEALTH INF DIS |
PA | 7152889 | Other | AETNA |
PA | 02900700 | Other | CAPITAL BC IM FP |
PA | 1377972 | Other | HIGHMARK BLUE SHIELD |
MD | LT62 | Other | CAREFIRST BCBS |
PA | 115898 | Other | UNISON- OB/GYN |
PA | 115914 | Other | UNISON PCP |
PA | 20016311 | Other | AMERIHEALTH PEDS |
PA | 328T | Other | GEISINGER |
PA | 50047701 | Other | CAPITAL BC PEDS |
PA | 7152889 | Other | AETNA |
PA | 074421EZ3 | Medicare PIN |