Provider Demographics
NPI: | 1598903965 |
---|---|
Name: | LANCASTER GENERAL HOSPITAL |
Entity type: | Organization |
Organization Name: | LANCASTER GENERAL HOSPITAL |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | CHIEF OPERATING OFFICER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | GARY |
Authorized Official - Middle Name: | A |
Authorized Official - Last Name: | WELCH |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 717-544-5658 |
Mailing Address - Street 1: | 555 N DUKE ST |
Mailing Address - Street 2: | |
Mailing Address - City: | LANCASTER |
Mailing Address - State: | PA |
Mailing Address - Zip Code: | 17602-2250 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 717-544-8101 |
Mailing Address - Fax: | 717-544-8101 |
Practice Address - Street 1: | 555 N DUKE ST |
Practice Address - Street 2: | |
Practice Address - City: | LANCASTER |
Practice Address - State: | PA |
Practice Address - Zip Code: | 17602-2250 |
Practice Address - Country: | US |
Practice Address - Phone: | 717-544-8101 |
Practice Address - Fax: | 717-544-8101 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | Yes |
Parent Organization LBN: | LANCASTER GENERAL HOSPITAL |
Parent Organization TIN: | <UNAVAIL> |
Enumeration Date: | 2009-01-23 |
Last Update Date: | 2025-04-28 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | Group - Single Specialty |