NPIMap

Organization Active NPI

Chambersburg Health Services

  • Radiation Oncology Physician
  • Chambersburg, PA
National Provider Identifier
1104882174
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
CHAMBERSBURG HEALTH SERVICES
Practice address
260 N 7TH St
Chambersburg, PA 17201-1722
Phone
(717) 262-4660
Fax
(717) 263-6251
NPI assigned
Apr 26, 2006
Organization subpart
Yes
Parent organization
CHAMBERSBURG HEALTH SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Authorized official

Name
Lissa Hinckle
Title
Senior VP Physician Services
Phone
(717) 267-4764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

260 N 7TH St
Chambersburg, PA 17201-1722

Mailing address

785 5TH Ave Ste 3
Chambersburg, PA 17201-4232
Phone (717) 263-9555

Other identifiers 2

IdentifierTypeStateIssuer
1007304950009MedicaidPA
1007304950005MedicaidPA

Other names 2

  • WellSpan Chambersburg Health Services Doing business as
  • WellSpan Radiation Oncology Doing business as

Electronic endpoints 1

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

National Provider Directory

National Provider Directory
Part of
Chambersburg Health Services

Locations

260 N 7th St
Chambersburg, PA 17201
Phone (717) 262-4660

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1104882174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 5TH AVE STE 3",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172014232",
            "telephone_number": "717-263-9555",
            "fax_number": "717-709-6529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 N 7TH ST",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172011722",
            "telephone_number": "717-262-4660",
            "fax_number": "717-263-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMBERSBURG HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHAMBERSBURG HEALTH SERVICES",
        "enumeration_date": "2006-04-26",
        "last_updated": "2023-01-18",
        "certification_date": "2022-09-27",
        "status": "A",
        "authorized_official_last_name": "HINCKLE",
        "authorized_official_first_name": "LISSA",
        "authorized_official_title_or_position": "SENIOR VP PHYSICIAN SERVICES",
        "authorized_official_telephone_number": "717-267-4764"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007304950009",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007304950005",
            "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 Chambersburg Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WellSpan Radiation Oncology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WellSpan Radiation Oncology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chambersburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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.