NPIMap

Organization Active NPI

Ephrata Community Hospital

Doing business as WellSpan Ephrata Community Hospital

  • General Acute Care Hospital
  • Ephrata, PA
National Provider Identifier
1083615587
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
310301 Issued in PA
Legal business name
EPHRATA COMMUNITY HOSPITAL
Doing business as
WellSpan Ephrata Community Hospital
Practice address
169 Martin Ave
Ephrata, PA 17522-1734
Phone
(717) 733-0311
NPI assigned
Aug 9, 2005
Last updated
Apr 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Authorized official

Name
Orie Chambers
Title
Interim President & VP Patient Care
Phone
(717) 721-5760

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 310301 PA
Emergency Care Clinic/Center 261QE0002X 310301 PA
Hearing and Speech Clinic/Center 261QH0700X 310301 PA
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X 310301 PA
Radiology Clinic/Center 261QR0200X 310301 PA
Mammography Clinic/Center 261QR0206X 310301 PA
Rehabilitation Clinic/Center 261QR0400X 310301 PA
Urgent Care Clinic/Center 261QU0200X 310301 PA
Oncology Clinic/Center 261QX0200X 310301 PA
General Acute Care Hospital 282N00000X 310301 PA Primary

Addresses

Primary practice location

169 Martin Ave
Ephrata, PA 17522-1734

Mailing address

601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405

Other practice location 1

368 West Main Street
Ephrata Community Hospital WellSpan Health Center in Le
Leola, PA 17540
Phone (717) 656-6122

Other practice location 2

63 W Church St
Stevens, PA 17578-9203
Phone (717) 721-8790

Other practice location 3

446 N Reading Rd
Ephrata, PA 17522-9802
Phone (717) 721-4307

Other practice location 4

460 N Reading Rd
Ephrata, PA 17522-9606
Phone (717) 721-4840

Other practice location 5

65 W Church St
Stevens, PA 17578-9203
Phone (717) 721-4325

Other practice location 6

1135 Georgetown Rd
Christiana, PA 17509-9543
Phone (717) 466-2460

Other practice location 7

30 W Swartzville Rd
Reinholds, PA 17569-9641
Phone (717) 484-0526

Other practice location 8

71 W Church St
Stevens, PA 17578-9203
Phone (717) 721-8790

Other practice location 9

268 Granite Run Dr
Lancaster, PA 17601-6804
Phone (717) 738-6782

Other practice location 10

4150 Barrett Blvd
Ephrata, PA 17522-8979
Phone (717) 738-6782

Other practice location 11

136 Lake Street
Ephrata, PA 17522-2415
Phone (717) 738-7979

Other practice location 12

435 S Kinzer Ave
New Holland, PA 17557-8706
Phone (717) 721-4774

Other practice location 13

4131 Oregon Pike
Ephrata, PA 17522-9550
Phone (717) 859-9925

Other practice location 14

175 Martin Ave Ste 100
Ephrata, PA 17522-1761
Phone (717) 721-5700

Other practice location 15

175 Martin Ave
Ephrata, PA 17522-1761
Phone (717) 738-6674

Other practice location 16

65 W Church St
Stevens, PA 17578-9203
Phone (717) 336-5262

Other identifiers 1

IdentifierTypeStateIssuer
100746468MedicaidPA

Other names 2

  • WellSpan Ephrata Community Hospital Doing business as
  • WellSpan Ephrata Community Hospital Acute Care Hospital Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040419000567 PA Part B Supplier - Hospital Department(S) 4981514445 Receives reassigned benefits from 27 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ephrata, PA
O20071207000860 PA Part A Provider - Hospital 4981514445 3 other NPIs on this enrollment
Practice locations: Ephrata, PA; Stevens, PA; Reinholds, PA; New Holland, PA; Leola, PA; Lancaster, PA; Christiana, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083615587. Details of each certification follow.

Hospital certification: CCN 390225

Legal name
EPHRATA COMMUNITY HOSPITAL
Doing business as
WELLSPAN EPHRATA COMMUNITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Nov 19, 2025
Beds
141 (126 certified)
Ownership / control type
Private (not for profit)
Organization structure
OtherNon-profit
Incorporated
Apr 30, 1940 in PA
Enrollment address
169 Martin Ave
Ephrata, PA 17522-1734
Hospital subgroups
General

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Wellspan Ephrata Community HospitalCCN 390225 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

63 W Church St
Stevens, PA 17578
Phone (717) 335-3311

65 W Church St
Stevens, PA 17578
Phone (717) 335-7200

Ownership & related parties

All disclosed owners & managing parties 16

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Laura Buczkowski Individual Corporate OfficerCfo Nov 30, 2020
W-2 Managing EmployeeSenior VP & Cfo Nov 30, 2020
Roxanna L Gapstur Individual Other Jan 2, 2019
Robert Hoffman Individual Corporate DirectorBoard Member Jan 1, 2021
Robert J Funk Individual Corporate DirectorBoard Member Jan 1, 2021
Stephen a Lindsey Individual Corporate DirectorBoard Member Jan 1, 2021
Christopher L Grant Individual Corporate DirectorBoard Member Jan 1, 2021
Roger Zimmerman Individual Corporate DirectorBoard Member Jan 1, 2021
Carrie Wilson Individual Corporate DirectorDirector Nov 1, 2016
Moniqua Acosta Individual Corporate DirectorVice Chair Jan 1, 2021
Michael B Seim Individual Corporate DirectorBoard Member Jan 1, 2021
Amanda Khara Davis-Buie Individual Corporate DirectorBoard Member Jan 1, 2021
Kimberly Shaun Kreider Umble Individual Corporate DirectorBoard Member Jan 1, 2021
Wellspan Health Organization, York, PA Corporation, Non-profit Operational/Managerial Control Oct 1, 2013
Other Oct 1, 2013
Edward Joseph Tadajweski Individual Corporate DirectorBoard Member Jan 1, 2021
James Stuccio Individual Corporate Director Jan 1, 2025
Orie Chambers Individual Corporate OfficerVP & Ech Cno Mar 23, 2025
W-2 Managing EmployeeVP & Ech Cno Mar 23, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 20

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 20

Practitioners & affiliated clinicians

Practitioners 40

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 40

Affiliated clinicians 738

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 738

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1083615587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 MEMORY LN",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174022231",
            "telephone_number": "717-851-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 MARTIN AVE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221734",
            "telephone_number": "717-733-0311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "368 West Main Street",
            "address_2": "Ephrata Community Hospital WellSpan Health Center in Le",
            "address_purpose": "LOCATION",
            "city": "Leola",
            "state": "PA",
            "postal_code": "17540",
            "country_code": "US",
            "telephone_number": "717-656-6122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "63 W Church St",
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            "country_code": "US",
            "telephone_number": "717-721-8790",
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        },
        {
            "address_1": "446 N Reading Rd",
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            "postal_code": "175229802",
            "country_code": "US",
            "telephone_number": "717-721-4307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "460 N Reading Rd",
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            "telephone_number": "717-721-4840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "65 W Church St",
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            "country_code": "US",
            "telephone_number": "717-721-4325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1135 Georgetown Rd",
            "address_purpose": "LOCATION",
            "city": "Christiana",
            "state": "PA",
            "postal_code": "175099543",
            "country_code": "US",
            "telephone_number": "717-466-2460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 W Swartzville Rd",
            "address_purpose": "LOCATION",
            "city": "Reinholds",
            "state": "PA",
            "postal_code": "175699641",
            "country_code": "US",
            "telephone_number": "717-484-0526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "71 W Church St",
            "address_purpose": "LOCATION",
            "city": "Stevens",
            "state": "PA",
            "postal_code": "175789203",
            "country_code": "US",
            "telephone_number": "717-721-8790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "268 Granite Run Dr",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "PA",
            "postal_code": "176016804",
            "country_code": "US",
            "telephone_number": "717-738-6782",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4150 Barrett Blvd",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175228979",
            "country_code": "US",
            "telephone_number": "717-738-6782",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "136 Lake Street",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175222415",
            "country_code": "US",
            "telephone_number": "717-738-7979",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "435 S Kinzer Ave",
            "address_purpose": "LOCATION",
            "city": "New Holland",
            "state": "PA",
            "postal_code": "175578706",
            "country_code": "US",
            "telephone_number": "717-721-4774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4131 Oregon Pike",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175229550",
            "country_code": "US",
            "telephone_number": "717-859-9925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 Martin Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175221761",
            "country_code": "US",
            "telephone_number": "717-721-5700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 Martin Ave",
            "address_purpose": "LOCATION",
            "city": "Ephrata",
            "state": "PA",
            "postal_code": "175221761",
            "country_code": "US",
            "telephone_number": "717-738-6674",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "65 W Church St",
            "address_purpose": "LOCATION",
            "city": "Stevens",
            "state": "PA",
            "postal_code": "175789203",
            "country_code": "US",
            "telephone_number": "717-336-5262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EPHRATA COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "ORIE",
        "authorized_official_title_or_position": "INTERIM PRESIDENT & VP PATIENT CARE",
        "authorized_official_telephone_number": "717-721-5760"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "PA",
            "license": "310301",
            "primary": false
        },
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "PA",
            "license": "310301",
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "PA",
            "license": "310301",
            "primary": false
        },
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "PA",
            "license": "310301",
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "PA",
            "license": "310301",
            "primary": false
        },
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "PA",
            "license": "310301",
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "PA",
            "license": "310301",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "PA",
            "license": "310301",
            "primary": false
        },
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "PA",
            "license": "310301",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PA",
            "license": "310301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100746468",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "WellSpan Ephrata Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WellSpan Ephrata Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WellSpan Ephrata Community Hospital Acute Care Hospital",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ephrata, PA

Sources for this page

Verify at the official NPI Registry.