The Milton S Hershey Medical Center
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Hershey, PA
NPI 1043399751 · NPPES record last updated Jan 17, 2025
Key facts
- NPI
- 1043399751
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- License
- 135101 (PA)
- Legal business name
- THE MILTON S HERSHEY MEDICAL CENTER
- Practice address
- 500 University Dr
Hershey, PA 17033-2360 - Phone
- (800) 243-1455
- NPI assigned
- Nov 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Donald McKenna
- Title
- President
- Phone
- (717) 531-3979
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 26
Member of 1
Practitioners 3
-
Gavin R Graff, MD
-
Afif N Kulaylat, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120503000593 | PA | Part a Provider - End-Stage Renal Disease Facility (ESRD) | 8820076706 | Practice locations: Hershey, PA |
National Provider Directory
- Tax ID family
- The Milton S Hershey Me
Locations
500 University Dr
Ste 1200
Hershey, PA 17033
Phone (717) 531-2045
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | 135101 | PA | Yes |
Addresses
Primary practice location
500 University Dr
Hershey, PA 17033-2360
Mailing address
PO Box 854
MC A410
Hershey, PA 17033-0854
Phone (800) 243-1455
Other names
- Penn State Milton S Hershey Medical Center Renal Dialysis
Other providers in Hershey, PA
- Thomas E Terndrup
- Hope Terrick
- Krishnamoorthy Thamburaj
- Joseph George Tharion
- The Giant Company, LLC
- The Milton S Hershey Medical Center
- The Milton S Hershey Medical Center
- The Milton S Hershey Medical Center
- The Milton S Hershey Medical Center
- The Milton S Hershey Medical Center
All providers in Hershey, PA · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.