Provider Demographics
NPI:1053658864
Name:HAMILTON HEALTH CENTER, INC.
Entity type:Organization
Organization Name:HAMILTON HEALTH CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SIR DIR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:DANITA
Authorized Official - Middle Name:L
Authorized Official - Last Name:HENSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-230-3906
Mailing Address - Street 1:110 S 17TH ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17104-1123
Mailing Address - Country:US
Mailing Address - Phone:717-232-9971
Mailing Address - Fax:717-230-3914
Practice Address - Street 1:110 S 17TH ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17104-1123
Practice Address - Country:US
Practice Address - Phone:717-232-9971
Practice Address - Fax:717-230-3914
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HAMILTON HEALTH CENTER, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-01-14
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA100748079-0024Medicaid
PA100748079-0028Medicaid
PA100748079-0029Medicaid
PA100748079-0033Medicaid
PA100748079-0026Medicaid