Provider Demographics
NPI:1255352092
Name:LANCASTER GENERAL HOSPITAL
Entity type:Organization
Organization Name:LANCASTER GENERAL HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:A
Authorized Official - Last Name:WELCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-544-5658
Mailing Address - Street 1:317 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:QUARRYVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17566-1184
Mailing Address - Country:US
Mailing Address - Phone:717-786-7383
Mailing Address - Fax:717-786-8635
Practice Address - Street 1:317 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:QUARRYVILLE
Practice Address - State:PA
Practice Address - Zip Code:17566-1184
Practice Address - Country:US
Practice Address - Phone:717-786-7383
Practice Address - Fax:717-786-8635
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LANCASTER GENERAL HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-21
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1518480OtherGATEWAY
PA4512890OtherCIGNA
PA000000155103OtherUNISON - PCP
PA001365404OtherHIGHMARK BLUE SHIELD
PA100771175 0080Medicaid
PA50055821OtherCAPITAL BLUE CROSS
PA100771175 0080Medicaid
PA50055821OtherCAPITAL BLUE CROSS
PA001365404OtherHIGHMARK BLUE SHIELD
PA2057615001OtherAMERIHEALTH 65
PA100771175 0080Medicaid