NPIMap

Organization Active NPI

Lancaster General Hospital

  • General Acute Care Hospital
  • Lancaster, PA
National Provider Identifier
1104875103
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
LANCASTER GENERAL HOSPITAL
Practice address
555 N Duke St
Lancaster, PA 17602-2250
Phone
(717) 544-5511
NPI assigned
May 8, 2006
Last updated
Dec 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Authorized official

Name
Gary A Welch
Title
Chief Financial Officer
Phone
(717) 544-5658

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

555 N Duke St
Lancaster, PA 17602-2250

Mailing address

555 N Duke St
Lancaster, PA 17602-2250
Phone (717) 544-5511

Other identifiers 10

IdentifierTypeStateIssuer
390100OtherPAKEYSTONE HEALTH PLAN CENTRAL
6490605OtherPAAETNA
000000079096OtherPAUNISON HEALTHPLAN
1542OtherPAHIGHMARK BLUE SHIELD
390100OtherPACAPITAL BLUE CROSS
0002000000OtherPAINDEPENDENCE BLUE CROSS
1027052OtherPAGATEWAY
60044OtherPAAMERIHEALTH MERCY
390100OtherPAHEALTH AMERICA-ASSURANCE
100771175 0051MedicaidPA

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 PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050831000508 PA Part A Provider - Hospital 1254240039 2 other NPIs on this enrollment

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104875103. Details of each certification follow.

Hospital certification: CCN 390100

Legal name
LANCASTER GENERAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Aug 2, 2024
Beds
632 (537 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Sep 23, 1893 in PA
Enrollment address
555 North Duke Street
Lancaster, PA 17602-2250
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 15

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

View all 15

Other NPIs on the same Medicare enrollment 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Lancaster General HospitalCCN 390100 · All quality measures
Overall star rating
5 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 43

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

NameRoleSinceShare
Alexis Strong Individual Corporate Officer Apr 1, 2025
Melissa Paulin Individual Corporate Officer Apr 1, 2025
Julia Puchtler Individual Corporate Director Jul 16, 2025
Edmond K Kabagambe, PHD Individual Corporate Officer Jul 1, 2024
Jordan Space Individual Corporate Director Sep 11, 2018
Timothy Zellers Individual Corporate Officer Jul 1, 2024
Michael Wege Individual Corporate DirectorChairperson Sep 11, 2014
Jennifer Groff Individual Corporate Officer Jul 1, 2024
Carolyn F Scanlan Individual Corporate Director Jul 18, 2013
Gary Welch Individual Corporate OfficerChief Financial Officer Jul 1, 2024
W-2 Managing Employee Jul 1, 2024
Thomas Baldrige Individual Corporate Director Sep 8, 2016
Tara Tawil Individual Corporate DirectorPresident Jul 1, 2024
Trustees of the University of Pennsylvania Organization, Philadelphia, PA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Aug 1, 2015
Alyssa M Livengood-Waite Individual Corporate Officer Jul 1, 2024
Ross Kramer Individual Corporate Director Sep 1, 2021
Daniel Wubah Individual Corporate Director Sep 19, 2019
Lancaster General Health Organization, Lancaster, PA Corporation, Non-profit, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Jun 28, 1983 100%
Gary R Davidson Individual Corporate Officer Jul 1, 2024
Michael D Barber Individual Corporate Officer Jul 1, 2024
Kevin B Mahoney Individual Corporate Director Jul 1, 2019
Pedro a. Rivera Individual Corporate Director Sep 1, 2021
Larry C Herring Individual Corporate Officer Apr 1, 2025
Desta Sharp Individual Corporate Officer Apr 1, 2025
Kathleen Smarilli Individual Corporate DirectorVice Chairman Sep 1, 2021
Stacy Greco Individual Corporate Officer Apr 1, 2025
Justin D Roberts Individual Corporate Officer Jul 1, 2024
Vanessa Philbert Individual Corporate Director Jul 1, 2024
Jeffrey P Ouellet Individual Corporate Director Mar 19, 2025
Linda Welker Individual Corporate Officer Jul 1, 2024
Donise Musheno Individual Corporate Officer Jul 1, 2024
Kevin Turner Individual Corporate Officer Jul 1, 2024
Kim Smith Individual Corporate DirectorSecretary Sep 11, 2014
Kay Brady Individual Corporate Officer Jul 1, 2024
Paul F Carroll Individual Corporate Director Sep 1, 2021
Kristi N Casey Individual Corporate Officer Jul 1, 2024
Edward W Monborne Individual Corporate Director Sep 11, 2018
Krystal Hummer Individual Corporate Officer Apr 1, 2025
Sean Reynolds Individual Corporate Officer Jul 1, 2024
Tamika Kelley Individual Corporate Officer Apr 1, 2025
Michael Rossi Individual Corporate Officer Apr 1, 2025
Michael Sheinberg Individual Corporate Officer Jul 1, 2024
Neal Salerno Individual Corporate DirectorChairperson Sep 11, 2018
Elizabeth Katz Individual Corporate Officer Jul 1, 2024

Owners & managing parties with NPI records 16

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

View all 16

Facilities with the same owner 15

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

View all 15

Practitioners & affiliated clinicians

Practitioners 192

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 192

Affiliated clinicians 1,939

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

View all 1,939

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765929600000",
    "number": "1104875103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 N DUKE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022250",
            "telephone_number": "717-544-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N DUKE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022250",
            "telephone_number": "717-544-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANCASTER GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A",
        "authorized_official_last_name": "WELCH",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "717-544-5658"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN CENTRAL",
            "identifier": "390100",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "6490605",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON HEALTHPLAN",
            "identifier": "000000079096",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1542",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "390100",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "0002000000",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1027052",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH MERCY",
            "identifier": "60044",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA-ASSURANCE",
            "identifier": "390100",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100771175 0051",
            "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": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.