Basic Information
Provider Information
NPI: 1326060492
EntityType: 2
ReplacementNPI:  
OrganizationName: YORK HOSPITAL
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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Mailing Information
Address1: 785 5TH AVE STE 3
Address2:  
City: CHAMBERSBURG
State: PA
PostalCode: 172014232
CountryCode: US
TelephoneNumber: 7172639555
FaxNumber: 7177096529
Practice Location
Address1: 1001 S GEORGE ST
Address2:  
City: YORK
State: PA
PostalCode: 174033676
CountryCode: US
TelephoneNumber: 7178512345
FaxNumber: 7178513020
Other Information
ProviderEnumerationDate: 07/24/2006
LastUpdateDate: 11/08/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: DIAMOND
AuthorizedOfficialFirstName: VICTORIA
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: VP
AuthorizedOfficialTelephone: 7178513464
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
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AuthorizedOfficialCredential:  
NPICertificationDate: 11/08/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
261Q00000X671074PAN Ambulatory Health Care FacilitiesClinic/Center 
261QA1903X250301PAN Ambulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
261QM0850X931120PAN Ambulatory Health Care FacilitiesClinic/CenterAdult Mental Health
282N00000X250301PAY HospitalsGeneral Acute Care Hospital 

ID Information
IDTypeStateIssuerDescription
0826301PAHEALTH PARTNERSOTHER
137797201PAHIGHMARKOTHER
21896801PAHEALTHAMERICAOTHER
39077001PABLUE CROSSOTHER
6059205PA MEDICAID
094217400001PAKEYSTONEOTHER
10019654705PA MEDICAID
22928401PAMAMSI, ALLIANCE, OPTIMUM,OTHER
39004601PACAPITAL BLUE CROSS & KHPOTHER
319220001PACAPITAL BLUE CROSS & KHPOTHER
137772301PAHIGHMARKOTHER
137774001PAHIGHMARKOTHER
000193900005PA MEDICAID
156401PAHIGHMARKOTHER
290070001PACAPITAL BLUE CROSS & KHPOTHER
792601PAGEISINGEROTHER
00000008135605PA MEDICAID
102768005PA MEDICAID


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