Provider Demographics
NPI:1669566337
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 1:694 GOOD DR
Mailing Address - Street 2:SUITE 11
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-2433
Mailing Address - Country:US
Mailing Address - Phone:717-544-3737
Mailing Address - Fax:717-544-3739
Practice Address - Street 1:694 GOOD DR
Practice Address - Street 2:SUITE 11
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-2433
Practice Address - Country:US
Practice Address - Phone:717-544-3737
Practice Address - Fax:717-544-3739
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LANCASTER GENERAL HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-10-03
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA100771175 0077Medicaid
PA244630OtherHEALTH AMERICA
PA1511660OtherGATEWAY
PA000000126161OtherUNISON-HBP GROUP#
PA1418983OtherAETNA-HMO/PCP GRP#
PA2059089000OtherAMERIHEALTH 65
PA50056041OtherCAPITAL BLUE CROSS
PAS1P7OtherGEISINGER
PA000000138301OtherUNISON-PCP GROUP#
PACK7852OtherRR MEDICARE
PA20010267OtherAMERIHEALTH MERCY
PA30001348OtherKEYSTONE MERCY
PA660TOtherGEISINGER
PA7382867OtherAETNA/NON-HMO-PCP#
PA001366749OtherHIGHMARK BLUE SHIELD
PA1419055OtherAETNA-HMO/OB-GYN GROUP#
PA7382867OtherAETNA/OB-GYN NON-HMO GROUP#
PA1418983OtherAETNA-HMO/PCP GRP#