EPHRATA COMMUNITY HOSPITAL (NPI# 1215452354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215452354 |
Entity Type | Organization |
Organization Name | EPHRATA COMMUNITY HOSPITAL |
Other Organization Name | WELLSPAN EPHRATA COMMUNITY HOSPITAL-BEHAVIORAL HEALTH UNIT EXTENDED |
Practice Address |
169 Martin Ave Ephrata PA 17522-1724 |
Practice Telephone | (717) 738-6400 |
Practice Fax Number | 7177386735 |
Mailing Telephone | 7177386400 |
Mailing Fax Number | 7177386735 |
Enumeration Date | 2017-08-10 |
Last Update Date | 2017-08-10 |
Authorized Official Name | MRS. CARRIE E. WILLETTS (PRESIDENT) |
Authorized Official Telephone | 7177386411 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 273R00000X | Psychiatric Unit | 310301 | PA | Hospital Units |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 100746468 | 05 |
Other Name | Type Code |
---|---|
WellSpan Ephrata Community Hospital-Behavioral Health Unit Extended | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841637733 | Ephrata Community Hospital | Preventive Medicine | 175 Martin Ave, Suite 355, Ephrata, PA 17522-1761 | 2013-05-31 |
1952623274 | Ephrata Community Hospital | Pharmacy | 169 Martin Avenue, Ephrata, PA 17522-1002 | 2010-03-01 |
1780819102 | Ephrata Community Hospital | General Acute Care Hospital | 169 Martin Ave, Ephrata, PA 17522-1724 | 2009-05-29 |
1700023041 | Ephrata Community Hospital | Hospitalist | 169 Martin Ave, Ephrata, PA 17522-1002 | 2009-01-08 |
1063685733 | Ephrata Community Hospital | General Acute Care Hospital | 435 S Kinzer Ave, New Holland, PA 17557-8706 | 2008-04-02 |
1801070784 | Ephrata Community Hospital | Durable Medical Equipment & Medical Supplies | 600 E Penn Ave, Suite B, Wernersville, PA 19565-1622 | 2007-12-27 |
1568645448 | Ephrata Community Hospital | Dietitian, Registered | 63 W Church St, The Wellness Center, Stevens, PA 17578-9203 | 2007-12-13 |
1558558064 | Ephrata Community Hospital | General Acute Care Hospital | 175 Martin Ave, Ephrata, PA 17522-1761 | 2007-09-28 |
1699802454 | Ephrata Community Hospital | Emergency Medicine | 169 Martin Ave, Ephrata, PA 17522-1724 | 2007-02-28 |
1265579619 | Ephrata Community Hospital | Ambulance | 169 Martin Ave, Ephrata, PA 17522-1724 | 2007-02-01 |
Street Address |
169 MARTIN AVE |
City | EPHRATA |
State | PA |
Zip Code | 17522-1724 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073516233 | John Charles Nawa | Radiology | 169 Martin Ave, Ephrata Community Hospital, Imaging Dept, Ephrata, PA 17522-1724 | 2005-05-23 |
1265048565 | Sharon M Szychowski | Nurse Practitioner | 169 Martin Ave, Ephrata, PA 17522-1724 | 2020-09-22 |
1770198889 | Amber N Banner | Nurse Practitioner | 169 Martin Ave, Ephrata, PA 17522-1724 | 2020-09-15 |
1487277802 | Allen Arslanian | Nurse Anesthetist, Certified Registered | 169 Martin Ave, Ephrata, PA 17522-1724 | 2020-05-20 |
1053932749 | Larry Dean Mellott | Nurse Anesthetist, Certified Registered | 169 Martin Ave, Ephrata, PA 17522-1724 | 2020-05-04 |
1457981078 | Heather D Mccord | Hospitalist | 169 Martin Ave, Ephrata, PA 17522-1724 | 2020-01-23 |
1902455538 | Jonathan Daniel Palmer | Physician Assistant | 169 Martin Ave, Ephrata, PA 17522-1724 | 2019-09-06 |
1144876343 | Jocelyn Sarah Stoudt | Hospitalist | 169 Martin Ave, Ephrata, PA 17522-1724 | 2019-08-13 |
1942770185 | Rosemarie Vickery | Nurse Practitioner | 169 Martin Ave, Ephrata, PA 17522-1724 | 2018-11-30 |
1790251007 | Geordann Weik | Speech-Language Pathologist | 169 Martin Ave, Ephrata, PA 17522-1724 | 2018-10-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427667336 | Indiju 4 Dental LLC | Clinic/Center | 4240 Oregeon Pk., Ephrata, PA 17522 | 2020-07-27 |
1134778251 | Anna Thornton | Pharmacist | Ephrata Outpatient Pharmacy-wellspan, 183 N. Reading Road, Suite 9, Ephrata, PA 17522 | 2019-09-11 |
1316320898 | Shivani Bista | Obstetrics & Gynecology | 175 Martin Ave Ste 125, Ephrata, PA 17522 | 2015-07-02 |
1336583475 | Ccjp, Inc. | In Home Supportive Care | 1060 S. State Street, Suite E, Ephrata, PA 17522 | 2013-04-19 |
1548503600 | Timothy Lawrence Basom | Physical Therapist | 136 E Lake St, Ephrata, PA 17522 | 2013-03-27 |
1316228406 | Cheryl L. Stephen | Nurse Practitioner | 466 N. Reading Rd, Suite 301, Ephrata, PA 17522 | 2011-09-01 |
1174833743 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 803 Oak Boulevard, Ephrata, PA 17522 | 2010-10-18 |
1487964953 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 957 Hammon Avenue, Ephrata, PA 17522 | 2010-10-18 |
1396957148 | Carl Richard Hankel | Nurse Practitioner | 4237 Oregon Pike, Worknet Occupational Medicine, Ephrata, PA 17522 | 2007-05-04 |
1396877726 | Regional Gastroenterology Associates of Lancaster, Ltd | Clinic/Center | 4140 Oregon Pike, Ephrata, PA 17522 | 2007-03-12 |
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Taxonomy Code | 273R00000X |
Grouping | Hospital Units |
Classification | Psychiatric Unit |
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588750616 | Ephrata Community Hospital | Psychiatric Unit | 169 Martin Avenue, Ephrata, PA 17522-1002 | 2006-10-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366596488 | Meadville Medical Center | Psychiatric Unit | 1034 Grove St., Psychiatric Unit, Meadville, PA 16335-2945 | 2007-01-23 |
1023129707 | The Children's Institute of Pittsburgh | Psychiatric Unit | 6301 Northumberland St, Pittsburgh, PA 15217-1360 | 2006-08-31 |
1588771216 | Pinnacle Health Hospitals | Psychiatric Unit | 2401 N 3rd St, Harrisburg, PA 17110-1902 | 2006-08-25 |
1356354567 | Blue Mountain Hospital | Psychiatric Unit | 211 North 12th Street, Lehighton, PA 18235-1138 | 2006-08-15 |
1194755892 | Tenet Health System Hahnemann, LLC | Psychiatric Unit | Broad & Vine Streets, Mailstop 417, Philadelphia, PA 19102-1178 | 2006-07-05 |
1649897562 | Highlands Hospital and Health Center | Psychiatric Unit | 401 E Murphy Ave, Connellsville, PA 15425-2724 | 2020-06-26 |
1336786276 | Somerset Health Services, Inc. | Psychiatric Unit | 225 S Center Ave, Somerset, PA 15501-2033 | 2019-12-10 |
1649746488 | Upmc Williamsport | Psychiatric Unit | 1100 Grampian Blvd, Williamsport, PA 17701-1909 | 2018-10-19 |
1184116774 | Schuylkill Medical Center - South Jackson Street | Psychiatric Unit | 700 E Norwegian St, Pottsville, PA 17901-2710 | 2018-05-31 |
1629578604 | Calvin A Alvesvelez | Psychiatric Unit | 500 University Dr, Hershey, PA 17033-2360 | 2018-02-16 |
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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.