NPIMap

Organization Active NPI

CRHS@ Hamilton Health Center

Doing business as Hamilton Health Center

  • Federally Qualified Health Center (FQHC)
  • Harrisburg, PA
National Provider Identifier
1023058534
Registry record updated May 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
MD055892L Issued in PA
Legal business name
CRHS@ HAMILTON HEALTH CENTER
Doing business as
Hamilton Health Center
Practice address
110 S 17TH St
Harrisburg, PA 17104
Phone
(717) 232-9971
NPI assigned
Jun 7, 2006
Last updated
May 25, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeannine Peterson
Title
Ceo
Phone
(717) 232-9971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X MD055892L PA Primary

Addresses

Primary practice location

110 S 17TH St
Harrisburg, PA 17104

Mailing address

110 S 17TH St
Harrisburg, PA 17104-1123
Phone (717) 232-9971

Other practice location 1

1821 Fulton St
Harrisburg, PA 17102-1522
Phone (717) 232-9971

Other identifiers 3

IdentifierTypeStateIssuer
100748079007MedicaidPA
391808OtherPAMEDICARE
391937OtherPAMEDICARE

Other names 1

  • HAMILTON HEALTH CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hamilton Health Center Downey11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

110 S 17th St
Harrisburg, PA 17104
Phone (717) 230-3906

46 Red Hill Ct
Newport, PA 17074
Phone (717) 561-3151

Practitioners & affiliated clinicians

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 30

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527206400000",
    "number": "1023058534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S 17TH ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041123",
            "telephone_number": "717-232-9971",
            "fax_number": "717-920-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S 17TH ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "17104",
            "telephone_number": "717-232-9971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1821 Fulton St",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171021522",
            "country_code": "US",
            "telephone_number": "717-232-9971",
            "fax_number": "717-920-3935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CRHS@ HAMILTON HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2018-05-25",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "JEANNINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "717-232-9971"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "PA",
            "license": "MD055892L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100748079007",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "391808",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "391937",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HAMILTON HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HAMILTON HEALTH CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.