EVANGELICAL COMMUNITY HOSPITAL (NPI# 1255829347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255829347 |
| Entity Type | Organization |
| Organization Name | EVANGELICAL COMMUNITY HOSPITAL |
| Other Organization Name | EVANGELICAL COMMUNITY HOSPITAL ENDOSCOPY CENTER |
| Practice Address |
90 Medical Park Dr Lewisburg PA 17837-6343 |
| Mailing Address |
1 Hospital Dr Ste 306 Lewisburg PA 17837-9350 |
| Practice Telephone | 5705241213 |
| Practice Fax Number | 5705240362 |
| Mailing Telephone | 5705224110 |
| Mailing Fax Number | 5707683911 |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-04-26 |
| Authorized Official Name | MICHELE ANN FINK (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 5705224110 |
| Is Organization Subpart | Y |
| Parent Organization Name | EVANGELICAL COMMUNITY HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Evangelical Community Hospital Endoscopy Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508823923 | Evangelical Community Hospital | Home Health | 235 Hospital Dr, Lewisburg, PA 17837-9306 | 2006-04-28 |
| 1548563869 | Evangelical Community Hospital | Clinic/Center | 1 Hospital Dr, Lewisburg, PA 17837-9350 | 2010-12-08 |
| 1922284561 | Evangelical Community Hospital | General Acute Care Hospital | 1 Hospital Dr, Lewisburg, PA 17837-9350 | 2008-01-14 |
| 1255479697 | Evangelical Community Hospital | Medicare Defined Swing Bed Unit | 1 Hospital Dr, Lewisburg, PA 17837-9314 | 2007-02-01 |
| 1063436483 | Evangelical Community Hospital | Ambulance | 1 Hospital Dr, Lewisburg, PA 17837-9314 | 2006-07-27 |
| 1326096744 | Evangelical Community Hospital | Rehabilitation Hospital | 1 Hospital Dr, Lewisburg, PA 17837-9350 | 2006-05-05 |
| 1124076039 | Evangelical Community Hospital | General Acute Care Hospital | 1 Hospital Dr, Lewisburg, PA 17837-9314 | 2006-05-04 |
| 1720046519 | Evangelical Community Hospital | Hospice Care, Community Based | 235 Hospital Dr, Lewisburg, PA 17837-9306 | 2006-05-02 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | EVANGELICAL COMMUNITY HOSPITAL | 1 Hospital Dr, Lewisburg, PA 17837-9350 |
| Street Address |
90 MEDICAL PARK DR |
| City | LEWISBURG |
| State | PA |
| Zip Code | 17837-6343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467415232 | Eileen Jessica Jerdon | Nurse Anesthetist, Certified Registered | 90 Medical Park Dr, Lewisburg, PA 17837-6343 | 2006-04-11 |
| 1548609811 | Hillarie A. Hartzell | Physician Assistant | 90 Medical Park Dr, Lewisburg, PA 17837 | 2013-06-20 |
| 1922393917 | Georgina Ann Ferriero | Physician Assistant | 90 Medical Park Dr, Lewisburg, PA 17837-6343 | 2011-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274245 | Susquehanna Valley Therapy Group, LLC | Counselor | 4552 West Branch Highway, Lewisburg, PA 17837 | 2020-08-06 |
| 1184185910 | Laura Pulaski | Physical Therapy Assistant | 15 Rivercrest Cir, Lewisburg, PA 17837 | 2019-03-26 |
| 1487112892 | Taylor Karin Hendrix | Physical Therapy Assistant | 189 Tressler Dr, Lewisburg, PA 17837 | 2019-03-05 |
| 1902375033 | United States Penitentiary | Pharmacist | 2400 Robert F. Miller Drive, Lewisburg, PA 17837 | 2018-11-19 |
| 1114419710 | Society Hill Dental In Lewisburg | Dentist | 339 Market Street, Lewisburg, PA 17837 | 2018-05-31 |
| 1669919213 | Karen Jean Orchard | Marriage & Family Therapist | 821 Buffalo Road, Lewisburg, PA 17837 | 2017-01-20 |
| 1063892057 | Giant Food Stores LLC | Durable Medical Equipment & Medical Supplies | 224 Hardwood Dr, Lewisburg, PA 17837 | 2015-06-04 |
| 1003207853 | Lenora Jeanne Broda | Counselor | 1800 Market St, Diakon Family Life Services, Lewisburg, PA 17837 | 2015-02-16 |
| 1225457401 | Geisinger Clinic | Clinic/Center | 1717 W Market St, Lewisburg, PA 17837 | 2014-04-15 |
| 1982045456 | Abdul Rahim Ali | Counselor | 32 Whisper Creek, Suite 8, Lewisburg, PA 17837 | 2013-07-12 |
| Find all providers in zip 17837 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619061751 | Brookpark Surgery Center LLC | Clinic/Center | 2330 Saint Mary St West, Brookpark Farm, Lewisburg, PA 17837 | 2006-10-03 |
| 1134114119 | Evangelical Ambulatory Surgical Center, LLC | Clinic/Center | 210 Jpm Rd, Lewisburg, PA 17837-9367 | 2005-09-15 |
| 1902899289 | Lewisburg Plastic Surgery and Laser Center | Clinic/Center | 135 Walter Dr, Lewisburg, PA 17837-7482 | 2005-08-23 |
| 1275895328 | Sun Surgical Center, LLC | Clinic/Center | 210 Jpm Rd, Suite 100, Lewisburg, PA 17837-9367 | 2012-06-14 |
| 1962436337 | Cpgi Endoscopy Center, LLC | Clinic/Center | 90 Medical Park Drive, Lewisburg, PA 17837-8032 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871108068 | Tilden Ambulatory Surgery Center, LLC | Clinic/Center | 61 Industrial Dr, Hamburg, PA 19526-8768 | 2020-09-14 |
| 1447862834 | Us Cardio Washington LLC | Clinic/Center | 1000 Park Place Dr Ste 201, Washington, PA 15301-2064 | 2020-08-18 |
| 1518575778 | Eye Surgery of The Main Line, LLC | Clinic/Center | 333 E City Avenue, Two Bala Plaza, Bala Cynwyd, PA 19004-1501 | 2020-07-14 |
| 1053934919 | Doylestown Surgery Center, LLC | Clinic/Center | 593 West State Street, Doylestown, PA 18901 | 2020-05-26 |
| 1811534555 | Midlantic Urology Surgery Center, LLC | Clinic/Center | Valley Forge Office Center, Suite 100, 676-656 East Swedesford Road, Wayne, PA 19087 | 2019-12-02 |
| 1750927190 | Hermitage Endoscopy Center Inc | Clinic/Center | 949 N Hermitage Road, Hermitage, PA 16148 | 2019-11-20 |
| 1508400920 | Nazareth Endoscopy Center, LLC | Clinic/Center | 2401 Northampton St Ste 220, Easton, PA 18045-2764 | 2019-10-29 |
| 1235788878 | Integrated Surgical Institute, LLC | Clinic/Center | West Ridge Business Campus, 1001 James Drive, Leesport, PA 19533 | 2019-09-06 |
| 1841759040 | Beaver Valley Ambulatory Surgery Center, LLC | Clinic/Center | 79 Wagner Road, Suite 101, Monaca, PA 15061-2489 | 2019-03-18 |
| 1669931861 | Urology Health Surgery Center, LLC | Clinic/Center | 1974 Sproul Rd Ste 104, Broomall, PA 19008-3402 | 2019-03-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.