=====================================================
General NPI Number Information
=====================================================
NPI Number | 1194677823
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THE MILTON S HERSHEY MEDICAL CENTER
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/13/2026
-----------------------------------------------------
Last Update Date | 02/13/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 100 N CAMERON ST
-----------------------------------------------------
City | HARRISBURG
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17101-2424
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 717-782-6844
-----------------------------------------------------
Fax | 717-221-5674
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 500 UNIVERSITY DR
-----------------------------------------------------
City | HERSHEY
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17033-2360
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 717-531-1159
-----------------------------------------------------
Fax | 717-531-0119
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DONALD MCKENNA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 717-531-3979
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261Q00000X
-----------------------------------------------------
Taxonomy Name | Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------