Healthcare Provider Details
I. General information
NPI: 1902804552
Provider Name (Legal Business Name): THE CHAMBERSBURG HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/08/2005
Last Update Date: 03/03/2025
Certification Date: 03/03/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
112 N 7TH ST
CHAMBERSBURG PA
17201-1720
US
IV. Provider business mailing address
601 MEMORY LN
YORK PA
17402-2231
US
V. Phone/Fax
- Phone: 717-267-3000
- Fax:
- Phone: 717-851-1405
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 282N00000X |
| Taxonomy | General Acute Care Hospital |
| License Number | 036001 |
| License Number State | PA |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
| # 1 | |
| Identifier | 337170 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | MAMSI |
| # 2 | |
| Identifier | 614548 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | FIRST HEALTH NETWORK |
| # 3 | |
| Identifier | 6490260 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | AETNA |
| # 4 | |
| Identifier | 06285500 |
| Identifier Type | MEDICAID |
| Identifier State | MD |
| Identifier Issuer | |
| # 5 | |
| Identifier | 1007459700009 |
| Identifier Type | MEDICAID |
| Identifier State | PA |
| Identifier Issuer | |
| # 6 | |
| Identifier | 000000056853 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | UNISON SAME DAY SURG |
| # 7 | |
| Identifier | 000000065233 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | THREE RIVERS/MED PLUS |
| # 8 | |
| Identifier | 1485 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | HIGHMARK BLUE SHIELD |
| # 9 | |
| Identifier | 20008036 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | AMERIHEALTH MERCY |
| # 10 | |
| Identifier | 2196 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | HEALTH AMERICA |
| # 11 | |
| Identifier | 337170 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | ALLIANCE |
| # 12 | |
| Identifier | 390151 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | CAPITAL BLUE CROSS |
| # 13 | |
| Identifier | 58993401 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | CAREFIRST BLUE CROSS |
| # 14 | |
| Identifier | 1010748 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | GATEWAY |
| # 15 | |
| Identifier | 337170 |
| Identifier Type | OTHER |
| Identifier State | PA |
| Identifier Issuer | OPTIMUM CHOICE |
| # 16 | |
| Identifier | 107652700 |
| Identifier Type | MEDICAID |
| Identifier State | FL |
| Identifier Issuer | Florida Medicaid Provider ID |
VIII. Authorized Official
Name:
LAURA
BUCZKOWSKI
Title or Position: SR VP AND CFO
Credential:
Phone: 410-442-3373
