Basic Information
| Provider Information | |||||||||
| NPI: | 1265466957 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | THE GETTYSBURG HOSPITAL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 785 5TH AVE STE 3 | ||||||||
| Address2: | |||||||||
| City: | CHAMBERSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 172014232 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172639555 | ||||||||
| FaxNumber: | 7177096549 | ||||||||
| Practice Location | |||||||||
| Address1: | 147 GETTYS STREET | ||||||||
| Address2: | |||||||||
| City: | GETTYSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 17325 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7173342121 | ||||||||
| FaxNumber: | 7173374142 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/10/2006 | ||||||||
| LastUpdateDate: | 09/29/2022 | ||||||||
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| AuthorizedOfficialLastName: | COGLIANO | ||||||||
| AuthorizedOfficialFirstName: | MICHAEL | ||||||||
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| AuthorizedOfficialTitleorPosition: | VP OPERATIONS | ||||||||
| AuthorizedOfficialTelephone: | 7173374110 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 09/29/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261Q00000X | N | Ambulatory Health Care Facilities | Clinic/Center | 261QA1903X | N | Ambulatory Health Care Facilities | Clinic/Center | Ambulatory Surgical | 282N00000X | 01300100 | PA | Y | Hospitals | General Acute Care Hospital |
ID Information
| ID | Type | State | Issuer | Description | 260065 | 01 | MD | MD IPA | OTHER | 69700 | 05 | PA | MEDICAID | 116466100 | 01 | PA | W/C -REGULAR FED EMPLOYEE | OTHER | 036023699 | 01 | PA | W/C ENERGY EMPLOYEE ONLY | OTHER | 1500515 | 05 | PA | MEDICAID | 1550 | 01 | PA | HIGHMARK BLUE SHIELD | OTHER | 260065 | 01 | PA | MAMSI | OTHER | 000625400 | 05 | MD | MEDICAID | 260065 | 01 | PA | ALLIANCE PPO | OTHER | 390065 | 01 | PA | CAPITAL BLUE CROSS | OTHER | 56729 | 05 | PA | MEDICAID | 100759018 | 05 | PA | MEDICAID | 260065 | 01 | PA | OPTIMUM CHOICE | OTHER | 60722 | 05 | PA | MEDICAID | 02X9GE | 01 | PA | CAREFIRST B/C. 568663-01 | OTHER | 036023600 | 01 | PA | FEDERAL BLACK LUNG | OTHER |