Provider Demographics
NPI:1578587986
Name:YORK HOSPITAL
Entity Type:Organization
Organization Name:YORK HOSPITAL
Other - Org Name:WELLSPAN YORK HOSPITAL INPATIENT PSYCH UNIT
Other - Org Type:Other Name
Authorized Official - Title/Position:SR 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:717-709-6529
Practice Address - Street 1:1001 S GEORGE ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-3676
Practice Address - Country:US
Practice Address - Phone:717-851-2345
Practice Address - Fax:717-851-3020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251K00000X, 261Q00000X
PA250301273R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273R00000XHospital UnitsPsychiatric Unit
No251K00000XAgenciesPublic Health or Welfare
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA218968OtherHEALTHAMERICA
PA7926OtherGEISINGER
PA1027680Medicaid
PA1565OtherHIGHMARK
PA000000081356Medicaid
PA0001939000Medicaid
PA08263OtherHEALTH PARTNERS
PA1564OtherHIGHMARK
PA000000066409Medicaid
PA0942174000OtherKEYSTONE
PA229284OtherMAMSI, ALLIANCE, OPTIMUM
PA39S046OtherCAPITAL BLUE CROSS & KHP
PA1001965470030Medicaid
PA390770OtherBLUE CROSS
PA60592Medicaid
PA39S046OtherCAPITAL BLUE CROSS & KHP
PA000000066409Medicaid