Provider Demographics
NPI:1902804552
Name:THE CHAMBERSBURG HOSPITAL
Entity type:Organization
Organization Name:THE CHAMBERSBURG HOSPITAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SR VP AND CFO
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUCZKOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-442-3373
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 1:112 N 7TH ST
Practice Address - Street 2:
Practice Address - City:CHAMBERSBURG
Practice Address - State:PA
Practice Address - Zip Code:17201-1720
Practice Address - Country:US
Practice Address - Phone:717-267-3000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-08
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA036001282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA337170OtherMAMSI
PA614548OtherFIRST HEALTH NETWORK
PA6490260OtherAETNA
MD06285500Medicaid
PA1007459700009Medicaid
PA000000056853OtherUNISON SAME DAY SURG
PA000000065233OtherTHREE RIVERS/MED PLUS
PA1485OtherHIGHMARK BLUE SHIELD
PA20008036OtherAMERIHEALTH MERCY
PA2196OtherHEALTH AMERICA
PA337170OtherALLIANCE
PA390151OtherCAPITAL BLUE CROSS
PA58993401OtherCAREFIRST BLUE CROSS
PA1010748OtherGATEWAY
PA337170OtherOPTIMUM CHOICE
PA000000056853OtherUNISON SAME DAY SURG