NPIMap

Organization Active NPI

Evangelical Community Hospital

Doing business as WellSpan Evangelical Community Hospital

  • General Acute Care Hospital
  • Lewisburg, PA
National Provider Identifier
1124076039
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
570201 Issued in PA
Legal business name
EVANGELICAL COMMUNITY HOSPITAL
Doing business as
WellSpan Evangelical Community Hospital
Practice address
1 Hospital Dr
Lewisburg, PA 17837-9314
Phone
(570) 522-2000
Fax
(570) 522-2069
NPI assigned
May 4, 2006
Last updated
Sep 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Authorized official

Name
Mr. Allen Fasnacht
Title
President
Phone
(570) 522-2602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 570201 PA Primary

Addresses

Primary practice location

1 Hospital Dr
Lewisburg, PA 17837-9314

Mailing address

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

Other practice location 1

210 Jpm Rd Ste 202
Lewisburg, PA 17837-9367
Phone (570) 522-4200

Other practice location 2

21 Susquehanna Valley Mall Dr Ste E
Selinsgrove, PA 17870-9148
Phone (877) 541-1417

Other practice location 3

289 S Market St
Elysburg, PA 17824-9737
Phone (877) 541-1417

Other practice location 4

414 W Market St
Middleburg, PA 17842-1076
Phone (877) 541-1417

Other practice location 5

3 Hospital Dr Ste 100
Lewisburg, PA 17837-9394
Phone (570) 524-5056

Other practice location 6

435 River Ave Ste 1
Williamsport, PA 17701-3722
Phone (877) 541-1417

Other practice location 7

7095 Westbranch Hwy Ste 1400
Lewisburg, PA 17837-6865
Phone (570) 768-3150

Other practice location 8

191 Roosevelt Ave Ste 3000
Selinsgrove, PA 17870-7998
Phone (570) 374-4411

Other practice location 9

7485 Westbranch Hwy
Lewisburg, PA 17837-6812
Phone (877) 541-1417

Other practice location 10

137 Forest Hill Rd
Mifflinburg, PA 17844-7066
Phone (877) 541-1417

Other practice location 11

101 Meadow Green Dr
Mifflinburg, PA 17844-9300
Phone (877) 541-1417

Other practice location 12

112 N 15th St Ste 2000
Lewisburg, PA 17837-1224
Phone (877) 541-1417

Other practice location 13

935 Route 522
Selinsgrove, PA 17870-9714
Phone (877) 541-1417

Other practice location 14

7095 Westbranch Hwy Ste 1300
Lewisburg, PA 17837-6865
Phone (570) 768-3100

Other practice location 15

210 Jpm Rd Ste 100
Lewisburg, PA 17837-9367
Phone (570) 768-3300

Other practice location 16

9627 Route 35 Ste 30
Mount Pleasant Mills, PA 17853-8409
Phone (877) 541-1417

Other identifiers 6

IdentifierTypeStateIssuer
1007731510021MedicaidPA
8769OtherPAHEALTH AMERICA
390013OtherPACAPITAL BLUE CROSS
1007731510008MedicaidPA
1513OtherPAHIGHMARK
12800OtherPAGHP

Other names 1

  • WellSpan Evangelical Community Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XRRequest_Service Health Information Exchange (HIE) Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060308000126 PA Part A Provider - Hospital 5496641086 Practice locations: Mount Pleasant Mills, PA; Williamsport, PA; Selinsgrove, PA; Mifflinburg, PA; Lewisburg, PA; Elysburg, PA; Middleburg, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1124076039. Details of each certification follow.

Hospital certification: CCN 390013

Legal name
EVANGELICAL COMMUNITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Oct 31, 2024
Beds
131 (119 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
May 5, 1934 in PA
Enrollment address
1 Hospital Dr
Thyra M Humphrey's Center for Breast Health
Lewisburg, PA 17837-9350
Main/Primary Hospital Location
Hospital subgroups
Acute care

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

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Wellspan Evangelical Community HospitalCCN 390013 · All quality measures
Overall star rating
4 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

Locations

210 Jpm Rd
Ste 202
Lewisburg, PA 17837
Phone (570) 522-4200

7485 Westbranch Hwy
Lewisburg, PA 17837
Phone (570) 768-4610

191 Roosevelt Ave
Ste 3000
Selinsgrove, PA 17870
Phone (570) 374-4411

21 Susquehanna Valley Mall Dr
Ste Pt
Selinsgrove, PA 17870

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Adanma Akujieze Individual Corporate OfficerOfficer Jan 1, 2024
Anthony David Aquilina Individual Corporate OfficerOfficer Jul 1, 2024
Laura Buczkowski Individual Corporate DirectorCorporate Cfo Jan 1, 2025
Amanda G Kessler Individual Corporate OfficerBoard Member Dec 12, 2016
Corporate DirectorBoard Member Jan 1, 2013
Roxanna L Gapstur Individual Corporate OfficerPresident Jul 1, 2024
Leah Barrett Individual W-2 Managing Employee Sep 25, 2025
Leslie P Temple Individual Corporate OfficerBoard Member Jan 1, 2022
Amy Hobbs Individual W-2 Managing Employee Sep 25, 2025
Timothy J Apple Individual Corporate OfficerBoard Member Dec 12, 2016
Corporate DirectorBoard Member Jan 1, 2013
Allen Fasnacht Individual W-2 Managing EmployeePresident Dec 15, 2025
Pamela Hildabridle Individual W-2 Managing Employee Sep 25, 2025
Michael B Seim Individual Corporate OfficerOfficer Jul 1, 2024
Maria M Fasano Individual Corporate OfficerMember Jan 1, 2025
Jeffrey Kapsar Individual Corporate OfficerBoard Member Dec 12, 2016
David Vega Individual Corporate Officer Jan 1, 2025
Wellspan Health Organization, York, PA Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2024 100%
Phillip Robert Peterson Individual Corporate OfficerBoard Member Jan 1, 2024
Cynthia Fruitrail Individual Corporate OfficerOfficer Jul 1, 2024

Owners & managing parties with NPI records 4

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 54

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 54

Affiliated clinicians 532

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

View all 532

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1124076039",
    "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": "1 HOSPITAL DR",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178379314",
            "telephone_number": "570-522-2000",
            "fax_number": "570-522-2069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Jpm Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178379367",
            "country_code": "US",
            "telephone_number": "570-522-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21 Susquehanna Valley Mall Dr Ste E",
            "address_purpose": "LOCATION",
            "city": "Selinsgrove",
            "state": "PA",
            "postal_code": "178709148",
            "country_code": "US",
            "telephone_number": "877-541-1417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "289 S Market St",
            "address_purpose": "LOCATION",
            "city": "Elysburg",
            "state": "PA",
            "postal_code": "178249737",
            "country_code": "US",
            "telephone_number": "877-541-1417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "414 W Market St",
            "address_purpose": "LOCATION",
            "city": "Middleburg",
            "state": "PA",
            "postal_code": "178421076",
            "country_code": "US",
            "telephone_number": "877-541-1417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Hospital Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178379394",
            "country_code": "US",
            "telephone_number": "570-524-5056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "435 River Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Williamsport",
            "state": "PA",
            "postal_code": "177013722",
            "country_code": "US",
            "telephone_number": "877-541-1417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7095 Westbranch Hwy Ste 1400",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178376865",
            "country_code": "US",
            "telephone_number": "570-768-3150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "191 Roosevelt Ave Ste 3000",
            "address_purpose": "LOCATION",
            "city": "Selinsgrove",
            "state": "PA",
            "postal_code": "178707998",
            "country_code": "US",
            "telephone_number": "570-374-4411",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7485 Westbranch Hwy",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178376812",
            "country_code": "US",
            "telephone_number": "877-541-1417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "137 Forest Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Mifflinburg",
            "state": "PA",
            "postal_code": "178447066",
            "country_code": "US",
            "telephone_number": "877-541-1417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Meadow Green Dr",
            "address_purpose": "LOCATION",
            "city": "Mifflinburg",
            "state": "PA",
            "postal_code": "178449300",
            "country_code": "US",
            "telephone_number": "877-541-1417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 N 15th St Ste 2000",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178371224",
            "country_code": "US",
            "telephone_number": "877-541-1417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "935 Route 522",
            "address_purpose": "LOCATION",
            "city": "Selinsgrove",
            "state": "PA",
            "postal_code": "178709714",
            "country_code": "US",
            "telephone_number": "877-541-1417",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7095 Westbranch Hwy Ste 1300",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178376865",
            "country_code": "US",
            "telephone_number": "570-768-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 Jpm Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "PA",
            "postal_code": "178379367",
            "country_code": "US",
            "telephone_number": "570-768-3300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9627 Route 35 Ste 30",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant Mills",
            "state": "PA",
            "postal_code": "178538409",
            "country_code": "US",
            "telephone_number": "877-541-1417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EVANGELICAL COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "FASNACHT",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-522-2602",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PA",
            "license": "570201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007731510021",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "8769",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "390013",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007731510008",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1513",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "12800",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "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 Evangelical Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewisburg, PA

Sources for this page

Verify at the official NPI Registry.