Basic Information
| Provider Information | |||||||||
| NPI: | 1497814040 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | YORK HOSPITAL | ||||||||
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| OtherOrganizationName: | YORK HOSPITAL COMMUNITY HEALTH CENTER | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 785 5TH AVE STE 3 | ||||||||
| Address2: | |||||||||
| City: | CHAMBERSBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 172014232 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172639555 | ||||||||
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| Practice Location | |||||||||
| Address1: | 605 S GEORGE ST | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174033160 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7178512334 | ||||||||
| FaxNumber: | 7178513498 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/08/2006 | ||||||||
| LastUpdateDate: | 09/29/2022 | ||||||||
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| AuthorizedOfficialLastName: | DIAMOND | ||||||||
| AuthorizedOfficialFirstName: | VICTORIA | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | VP | ||||||||
| AuthorizedOfficialTelephone: | 7178513464 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 09/29/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | N | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine | 207R00000X | N | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | 207RI0200X | N | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease | 207V00000X | N | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 208000000X | N | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Pediatrics | 282N00000X | 250301 | PA | N | Hospitals | General Acute Care Hospital | 363L00000X | N | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | 261Q00000X | Y | Ambulatory Health Care Facilities | Clinic/Center |
ID Information
| ID | Type | State | Issuer | Description | 1519306 | 01 | PA | GATEWAY IM FP | OTHER | 1146406 | 01 | PA | AMERIHEALTH OBGYN | OTHER | 131294 | 01 | PA | UNISON- INF DISEASE | OTHER | 1525567 | 01 | PA | GATEWAY INFECTI DIS | OTHER | 1545723 | 01 | PA | GATEWAY PEDS SPEC | OTHER | CI1598 | 01 | PA | RAILROAD MEDICARE | OTHER | S1FF | 01 | PA | GEISINGER | OTHER | 1001965470074 | 05 | PA | MEDICAID | 20010017 | 01 | PA | AMERIHEALTH M PEDSPCP | OTHER | 1145646 | 01 | PA | AMERIHEALTH IM | OTHER | 1519818 | 01 | PA | GATEWAY OBGYN | OTHER | 20011313 | 01 | PA | AMERIHEALTH FP | OTHER | 50047702 | 01 | PA | CAPITAL BC SPECIALISTS | OTHER | 1522646 | 01 | PA | GATEWAY PEDS PCP | OTHER | 20015753 | 01 | PA | AMERIHEALTH INF DIS | OTHER | 7152889 | 01 | PA | AETNA | OTHER | 02900700 | 01 | PA | CAPITAL BC IM FP | OTHER | 1377972 | 01 | PA | HIGHMARK BLUE SHIELD | OTHER | LT62 | 01 | MD | CAREFIRST BCBS | OTHER | 115898 | 01 | PA | UNISON- OB/GYN | OTHER | 115914 | 01 | PA | UNISON PCP | OTHER | 20016311 | 01 | PA | AMERIHEALTH PEDS | OTHER | 328T | 01 | PA | GEISINGER | OTHER | 50047701 | 01 | PA | CAPITAL BC PEDS | OTHER |