Provider Demographics
NPI:1538534938
Name:OSS ORTHOPAEDIC HOSPITAL, LLC
Entity type:Organization
Organization Name:OSS ORTHOPAEDIC HOSPITAL, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:M
Authorized Official - Last Name:RUTTER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:717-848-4800
Mailing Address - Street 1:1861 POWDER MILL RD
Mailing Address - Street 2:ATTN: MEDICAL STAFF OFFICE
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-4723
Mailing Address - Country:US
Mailing Address - Phone:717-718-2000
Mailing Address - Fax:
Practice Address - Street 1:3230 EASTERN BLVD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-3030
Practice Address - Country:US
Practice Address - Phone:717-755-0722
Practice Address - Fax:717-757-7255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-10
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA6740130005Medicare NSC