THE MILTON S HERSHEY MEDICAL CENTER
Complete NPI Record 1568435477
General Acute Care Hospital in Hershey, PA
Active since February 10, 2006
Complete NPI Dataset
This page contains the complete raw NPPES record for The Milton S Hershey Medical Center (NPI 1568435477), a general acute care hospital organization in Hershey, PA. All 40 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
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Registry File Document Utilities
- NPI: 1568435477 Field 1/40
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/40
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/40
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: THE MILTON S HERSHEY MEDICAL CENTER Field 4/40
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider Other Organization Name: Not available Field 5/40
- Other name by which the organization provider is or has been known.
- Provider Other Organization Name Type Code: 6 Field 6/40
- Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
- Provider First Line Business Mailing Address: PO BOX 856 Field 7/40
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Second Line Business Mailing Address: MC A410 Field 8/40
- The second line mailing address of the provider being identified. This data element may contain the same information as "Provider second line location address".
- Provider Business Mailing Address City Name: HERSHEY Field 9/40
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: PA Field 10/40
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 170330856 Field 11/40
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 12/40
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 7175311159 Field 13/40
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider Business Mailing Address Fax Number: 7175317269 Field 14/40
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
- Provider First Line Business Practice Location Address: 500 UNIVERSITY DR Field 15/40
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: HERSHEY Field 16/40
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: PA Field 17/40
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 170332360 Field 18/40
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 19/40
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 8002431455 Field 20/40
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 7175317269 Field 21/40
- The fax number associated with the location address of the provider being identified.
- Authorized Official Last Name: MCKENNA Field 24/40
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: DONALD Field 25/40
- The first name of the authorized official.
- Authorized Official Title or Position: PRESIDENT Field 26/40
- The title or position of the authorized official.
- Authorized Official Telephone Number: 7175318810 Field 27/40
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 282N00000X Field 28/40
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number 1: 135101 Field 29/40
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
- Provider License Number State Code 1: PA Field 30/40
- The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 31/40
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Healthcare Provider Taxonomy Code 2: 3416L0300X Field 32/40
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number 2: 05029 Field 33/40
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
- Provider License Number State Code 2: PA Field 34/40
- The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
- Healthcare Provider Primary Taxonomy Switch 2: N Field 35/40
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Other Provider Identifier 1: 1007653100005 Field 36/40
- An additional identifier number for the provider, either current or previously used. This may include IDs issued by health plans, state agencies, or other organizations. The value is collected from the NPI application or update form.
- Other Provider Identifier Type Code 1: 05 Field 37/40
- A code that specifies the type of additional identifier associated with the provider, either current or past. Examples include UPIN (Universal Provider Identification Number), NSC (National Supplier Clearinghouse), OSCAR (CMS Certification Number), DEA (Drug Enforcement Administration number), state Medicaid ID, or a plan-specific PIN. The value is collected from the NPI application or update form.
- Other Provider Identifier State 1: PA Field 38/40
- The two-letter state code representing the U.S. state or territory that issued the additional provider identifier. This links the Other Provider Identifier to the state where it is valid or was assigned.
- Is Organization Subpart: N Field 39/40
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
Other Organization Names 1
Additional business and trade names this provider has on file with the NPPES registry.
Penn State Health Milton S Hershey Medical Center Other Name
Name 1/1Other Name: Any additional name associated with either an individual provider or an organization that does not fall under the other defined name type categories.
Secondary Practice Locations 26
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
3025 Market St
Location 1/26Camp Hill, PA 17011-4518 · Phone (717) 761-8900
1 Continental Drive
Location 2/26Elizabethtown, PA 17022-2231 · Phone (717) 361-0666
2626 N 3rd St
Location 3/26Harrisburg, PA 17110-2044 · Phone (717) 232-5443
5 Capital Drive
Location 4/26Harrisburg, PA 17110-9477 · Phone (717) 531-1386
121 N Nyes Road
Location 5/26Harrisburg, PA 17112-3247 · Phone (717) 657-4040
905 W Governor Rd
Location 6/26Hershey, PA 17033-2307 · Phone (717) 531-7235
30 Hope Drive
Location 7/26Hershey, PA 17033-2036 · Phone (717) 531-5867
35 Hope Drive
Location 8/26Hershey, PA 17033-2036 · Phone (717) 531-3503
845 Fishburn Road
Location 9/26Hershey, PA 17033-2015 · Phone (717) 531-8181
22 Northeast Drive
Location 10/26Hershey, PA 17033-2732 · Phone (717) 531-8338
1150 Cocoa Ave
Location 11/26Hershey, PA 17033-1712 · Phone (717) 531-6015
44 E Granada Ave
Location 12/26Hershey, PA 17033-1459 · Phone (717) 531-8521
1214 Research Blvd
Location 13/26Hummelstown, PA 17036-9153 · Phone (717) 531-8520
1430 Harrisburg Pike
Location 14/26Lancaster, PA 17601-2615 · Phone (717) 606-1170
2221 Noll Dr
Location 15/26Lancaster, PA 17603-7614 · Phone (717) 715-1001
140 Old Willow Mill Rd
Location 16/26Mechanicsburg, PA 17050-1816 · Phone (717) 766-4635
3100 Schoolhouse Rd
Location 17/26Middletown, PA 17057-3548 · Phone (717) 948-5180
201 Lefever Rd
Location 18/26Mount Joy, PA 17552-8803 · Phone (717) 653-2900
941 Park Drive
Location 19/26Palmyra, PA 17078-3445 · Phone (717) 838-6305
2494 Bernville Rd
Location 20/26Reading, PA 19605-9469 · Phone (610) 898-1800
32 Colonnade Way
Location 21/26State College, PA 16803-2309 · Phone (814) 272-4445
1850 East Park Ave
Location 22/26State College, PA 16803-6706 · Phone (814) 235-2480
476 Rolling Ridge Drive
Location 23/26State College, PA 16801-7639 · Phone (814) 689-4980
303 Benner Pike
Location 24/26State College, PA 16801-7304 · Phone (814) 272-5660
303 Benner Pike Ste 2
Location 25/26State College, PA 16801-7304 · Phone (814) 272-5888
130 Leaders Heights Rd
Location 26/26York, PA 17403-5121 · Phone (717) 815-5160
Other Provider Identifiers 1
Legacy and payer-issued identifiers reported to the NPPES registry for this provider.
1007653100005 Medicaid
Identifier 1/1State: PA
Medicaid (State-specific): A provider identification number assigned by an individual state's Medicaid program, used for billing and enrollment within that state's Medicaid system.
Medicaid (State-specific): A provider identification number assigned by an individual state's Medicaid program, used for billing and enrollment within that state's Medicaid system.
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