MEDICARE: WELLSPAN HEALTH NEWBERRY LLC

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	282N00000X	General Acute Care Hospital

General Provider Information

NPI Number	:	1578375523
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELLSPAN HEALTH NEWBERRY LLC

Provider Business Mailing Address
First Line	:	8686 NEW TRAILS DR STE 100
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77381-1195
Country	:	US
Telephone Number	:	713-929-2076
Fax Number	:	832-218-7022

Provider Business Practice Location Address
First Line	:	1201 LETORT SPRINGS WAY
Second Line	:
City	:	CARLISLE
State	:	PA
Zip	:	17015-8011
Country	:	US
Telephone Number	:	717-674-7600
Fax Number	:	717-674-7626

Authorized Official
Title or Position	:	CEO
Name	:	VICTOR SCHMERBECK
Credential	:
Telephone Number	:	713-637-1145

Provider Enumeration Date	:	01/24/2025
Last Update Date	:	04/21/2026

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