Provider Demographics
NPI:1497814040
Name:YORK HOSPITAL
Entity type:Organization
Organization Name:YORK HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AO & VP
Authorized Official - Prefix:
Authorized Official - First Name:ALYSSA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-851-5258
Mailing Address - Street 1:601 MEMORY LN
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-2231
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:
Practice Address - Street 1:605 S GEORGE ST
Practice Address - Street 2:SUITE 200
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-3160
Practice Address - Country:US
Practice Address - Phone:717-851-2334
Practice Address - Fax:717-851-3498
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207Q00000X, 207R00000X, 207RI0200X, 207V00000X, 208000000X, 363L00000X, 261Q00000X
PA250301282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
No282N00000XHospitalsGeneral Acute Care Hospital
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA20015753OtherAMERIHEALTH INF DIS
PA131294OtherUNISON- INF DISEASE
PA1525567OtherGATEWAY INFECTI DIS
PA20010017OtherAMERIHEALTH M PEDSPCP
PA7152889OtherAETNA
PACI1598OtherRAILROAD MEDICARE
PA1146406OtherAMERIHEALTH OBGYN
PA1377972OtherHIGHMARK BLUE SHIELD
PA20011313OtherAMERIHEALTH FP
PA02900700OtherCAPITAL BC IM FP
PA1145646OtherAMERIHEALTH IM
PA1522646OtherGATEWAY PEDS PCP
PAS1FFOtherGEISINGER
PA115898OtherUNISON- OB/GYN
MDLT62OtherCAREFIRST BCBS
PA1001965470074Medicaid
PA1519306OtherGATEWAY IM FP
PA1545723OtherGATEWAY PEDS SPEC
PA20016311OtherAMERIHEALTH PEDS
PA328TOtherGEISINGER
PA50047701OtherCAPITAL BC PEDS
PA50047702OtherCAPITAL BC SPECIALISTS
PA115914OtherUNISON PCP
PA1519818OtherGATEWAY OBGYN
PA7152889OtherAETNA
PA074421EZ3Medicare PIN