Healthcare Provider Details

I. General information

NPI: 1619433570
Provider Name (Legal Business Name): OSS ORTHOPAEDIC HOSPITAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2019
Last Update Date: 05/08/2024
Certification Date: 12/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1926 GOOD HOPE RD
ENOLA PA
17025-1217
US

IV. Provider business mailing address

1861 POWDER MILL ROAD ATTN MEDICAL STAFF OFFICE
YORK PA
17402-4723
US

V. Phone/Fax

Practice location:
  • Phone: 717-848-4800
  • Fax:
Mailing address:
  • Phone: 717-718-2000
  • Fax: 717-718-3470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: CHAD M RUTTER
Title or Position: PRESIDENT
Credential: DO
Phone: 717-848-4800