MEDICARE: CONCORDIA OF CENTRAL PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1053262501
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONCORDIA OF CENTRAL PA

Provider Business Mailing Address
First Line	:	134 MARWOOD RD
Second Line	:
City	:	CABOT
State	:	PA
Zip	:	16023-2206
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2998 LUTHER DR
Second Line	:
City	:	CHAMBERSBURG
State	:	PA
Zip	:	17202-7040
Country	:	US
Telephone Number	:	724-352-1571
Fax Number	:	724-352-4685

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER
Name	:	BRIAN HORTERT
Credential	:
Telephone Number	:	724-352-1571

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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