Basic Information
| Provider Information | |||||||||
| NPI: | 1881617132 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | YORK HOSPITAL | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1803 MOUNT ROSE AVE | ||||||||
| Address2: | SUITE B3 | ||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174033026 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7178516000 | ||||||||
| FaxNumber: | 7178513521 | ||||||||
| Practice Location | |||||||||
| Address1: | 1001 S GEORGE ST | ||||||||
| Address2: | |||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174033676 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7178512345 | ||||||||
| FaxNumber: | 7178513020 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/26/2006 | ||||||||
| LastUpdateDate: | 01/13/2016 | ||||||||
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| AuthorizedOfficialLastName: | O'CONNOR | ||||||||
| AuthorizedOfficialFirstName: | MICHAEL | ||||||||
| AuthorizedOfficialMiddleName: | F | ||||||||
| AuthorizedOfficialTitleorPosition: | SR VP - FINANCE | ||||||||
| AuthorizedOfficialTelephone: | 7178512123 | ||||||||
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| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | YORK HOSPITAL | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101Y00000X | 25301 | PA | N | 193200000X MULTI-SPECIALTY GROUP | Behavioral Health & Social Service Providers | Counselor | 101YA0400X | 250301 | PA | N | 193200000X MULTI-SPECIALTY GROUP | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | 102L00000X | 250301 | PA | N | 193200000X MULTI-SPECIALTY GROUP | Behavioral Health & Social Service Providers | Psychoanalyst | 207LP2900X | 250301 | PA | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine | 207P00000X | 250301 | PA | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Emergency Medicine | 207R00000X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | 207RI0200X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease | 207V00000X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 207ZP0105X | 25301 | PA | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Pathology | Clinical Pathology/Laboratory Medicine | 208000000X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Pediatrics | 2081P2900X | 250301 | PA | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Pain Medicine | 2083P0901X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Preventive Medicine | Public Health & General Preventive Medicine | 2084P0800X | 250301 | PA | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry | 261QM0801X | N | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) | 207Q00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 1377723 | 01 | PA | HIGHMARK | OTHER | 50067200 | 01 | PA | CAPITAL BLUE CROSS-PC | OTHER | 1580244 | 01 | PA | GATEWAY-PC | OTHER | 20085767 | 01 | PA | AMERIHEALTH MERCY-PC | OTHER | 229284 | 01 | PA | MAMSI, ALLIANCE, OPTIMUM | OTHER | 676462 | 01 | PA | AETNA | OTHER | 261776 | 01 | PA | UNISON-PC | OTHER | 390046 | 01 | PA | CAPITAL BLUE CROSS & KHP | OTHER | 7926 | 01 | PA | GEISINGER | OTHER | CI1598 | 01 | PA | RAILROAD MEDICARE | OTHER | 03192200 | 01 | PA | BLUE CROSS | OTHER | 1377738 | 01 | PA | HIGH MARK | OTHER | 218968 | 01 | PA | HEALTHAMERICA | OTHER | 1377740 | 01 | PA | HIGHMARK | OTHER | 2031714 | 01 | PA | HIGHMARK BLUE SHIELD-PC | OTHER | 2900700 | 01 | PA | CAPITAL BLUE CROSS & KHP | OTHER | 3192200 | 01 | PA | CAPITAL BLUE CROSS & KHP | OTHER | 60592 | 05 | PA | MEDICAID | 08263 | 01 | PA | HEALTH PARTNERS | OTHER | 0942174000 | 01 | PA | KEYSTONE | OTHER | 100196547 | 05 | PA | MEDICAID | 2069277000 | 05 | PA | MEDICAID | 449181 | 01 | PA | KEYSTONE | OTHER |