Healthcare Provider Details

I. General information

NPI: 1619371812
Provider Name (Legal Business Name): LANCASTER GENERAL HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2014
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 S OCTORARA TRL
PARKESBURG PA
19365-2100
US

IV. Provider business mailing address

950 S OCTORARA TRL
PARKESBURG PA
19365-2100
US

V. Phone/Fax

Practice location:
  • Phone: 717-544-5945
  • Fax: 717-544-5944
Mailing address:
  • Phone: 717-544-5945
  • Fax: 717-544-5944

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: GARY A WELCH
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 717-544-5658