Provider Demographics
NPI:1699798942
Name:YORK HOSPITAL
Entity type:Organization
Organization Name:YORK HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SR VP - FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:F
Authorized Official - Last Name:O'CONNOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-851-2123
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 1:43 SOUTH COLUMBUS AVE SUITE 100
Practice Address - Street 2:WELLSPAN DIALYSIS - LITTLESTOWN
Practice Address - City:LITTLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:17340
Practice Address - Country:US
Practice Address - Phone:717-359-8110
Practice Address - Fax:717-359-8920
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YORK HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-26
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA250301261QE0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0001939000Medicaid
PA60592Medicaid
PA7926OtherGEISINGER
PA229284OtherMAMSI, ALLIANCE, OPTIMUM
PA390046OtherCAPITAL BLUE CROSS & KHP
PA000000056673Medicaid
PA393505OtherMEDICARE
PA390770OtherBLUE CROSS
PA100196547Medicaid
PA218968OtherHEALTHAMERICA
PA08263OtherHEALTH PARTNERS
PA0942174000OtherKEYSTONE
PA1027680Medicaid
PA676462OtherAETNA