Basic Information
Provider Information
NPI: 1922764463
EntityType: 2
ReplacementNPI:  
OrganizationName: YORK HOSPITAL
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
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:  
Other Information
ProviderEnumerationDate: 11/09/2021
LastUpdateDate: 11/09/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: DIAMOND
AuthorizedOfficialFirstName: VICTORIA
AuthorizedOfficialMiddleName: M.
AuthorizedOfficialTitleorPosition: SR VP & PRESIDENT
AuthorizedOfficialTelephone: 7178513464
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/25/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
291U00000X  Y LaboratoriesClinical Medical Laboratory 

No ID Information.


Home