Healthcare Provider Details

I. General information

NPI: 1942644687
Provider Name (Legal Business Name): OSS ORTHOPAEDIC HOSPITAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2013
Last Update Date: 01/03/2024
Certification Date: 01/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

470 EISENHOWER DR
HANOVER PA
17331-5248
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 717-633-0031
  • Fax: 717-630-1085
Mailing address:
  • Phone: 717-718-2000
  • Fax: 717-718-3470

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

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