Provider Demographics
NPI:1902804552
Name:THE CHAMBERSBURG HOSPITAL
Entity Type:Organization
Organization Name:THE CHAMBERSBURG HOSPITAL
Other - Org Name:WELLSPAN CHAMBERSBURG HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR VP AND CFO
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUCZKOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-442-3373
Mailing Address - Street 1:785 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4232
Mailing Address - Country:US
Mailing Address - Phone:717-263-9555
Mailing Address - Fax:717-709-6549
Practice Address - Street 1:112 N 7TH ST
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-1720
Practice Address - Country:US
Practice Address - Phone:717-267-3000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-08
Last Update Date:2022-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA036001282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA614548OtherFIRST HEALTH NETWORK
PA58993401OtherCAREFIRST BLUE CROSS
PA337170OtherOPTIMUM CHOICE
PA1007459700009Medicaid
PA1010748OtherGATEWAY
PA20008036OtherAMERIHEALTH MERCY
PA337170OtherALLIANCE
MD06285500Medicaid
PA1485OtherHIGHMARK BLUE SHIELD
PA390151OtherCAPITAL BLUE CROSS
PA000000056853OtherUNISON SAME DAY SURG
PA337170OtherMAMSI
PA6490260OtherAETNA
PA000000065233OtherTHREE RIVERS/MED PLUS
PA2196OtherHEALTH AMERICA
PA000000056853OtherUNISON SAME DAY SURG