NPIMap

Organization Active NPI

Penn State Health Hampden Medical Center

  • General Acute Care Hospital
  • Enola, PA
National Provider Identifier
1164029658
Registry record updated Aug 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
PENN STATE HEALTH HAMPDEN MEDICAL CENTER
Practice address
2200 Good Hope Road
Enola, PA 17025-1210
Phone
(717) 981-9000
NPI assigned
Oct 7, 2020
Last updated
Aug 9, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
PENN STATE HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 9, 2023

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

Authorized official

Name
Kyle Snyder
Title
President, Interim
Phone
(717) 531-0003

Specialties & licenses 1

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

Addresses

Primary practice location

2200 Good Hope Road
Enola, PA 17025-1210

Mailing address

100 Crystal a Dr
Hershey, PA 17033-9524
Phone (717) 531-0003

Other practice location 1

100 Crystal A Dr
Hershey, PA 17033-9524
Phone (717) 531-1159

Other identifiers 1

IdentifierTypeStateIssuer
103962850-0001MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210930000694 PA Part A Provider - Hospital 2567869795 Practice locations: Enola, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1164029658. Details of each certification follow.

Hospital certification: CCN 390336

Legal name
PENN STATE HEALTH HAMPDEN MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jan 24, 2022
Last certification
May 20, 2024
Beds
120 (106 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jun 18, 2020 in PA
Enrollment address
2200 Good Hope Rd
Enola, PA 17025-1210
Main/Primary Hospital Location
Hospital subgroups
Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Penn State Health Hampden Medical CenterCCN 390336 · 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
Part of
Penn State Health

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 19

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

NameRoleSinceShare
Robert Delrosario Individual Corporate Officer Jul 1, 2023
Judy Hlafcsak Individual Corporate DirectorBoard Member Jun 18, 2020
Jessica Meyers Individual Corporate DirectorBoard Member Jan 1, 2022
James R Hoehn Individual Corporate DirectorBoard Member Jan 1, 2022
Leslyn Williamson Individual W-2 Managing EmployeePresident Oct 5, 2025
Operational/Managerial ControlPresident Oct 5, 2025
Kenneth E Wood Individual Corporate DirectorBoard Member Jun 4, 2023
Highmark Health Organization, Pittsburgh, PA Non-profit 5% Or Greater Indirect Ownership Interest Jun 18, 2020 20%
Guy Greg Gunn Individual Corporate DirectorBoard Member Jan 1, 2022
Shannon Mowery Individual Corporate DirectorBoard Member Jan 1, 2022
The Pennsylvania State University Organization, University Park, PA Non-profit 5% Or Greater Indirect Ownership Interest Jun 18, 2020 80%
Penn State Health Organization, Hershey, PA Corporation, Non-profit, Chain home office 5% Or Greater Direct Ownership Interest Jun 18, 2020 100%
Ross Darrow Individual Corporate OfficerAssociate Treasurer Nov 1, 2020
Richard Jordan Individual Corporate DirectorBoard Member Jan 1, 2022
Ann Allwein Individual Corporate OfficerAssociate Secretary Oct 1, 2024
Joann M Aumand Individual Corporate DirectorBoard Member Jan 1, 2022
Thomas Stoessel Individual Corporate DirectorBoard Member Jan 1, 2022
Nicole Lehman Individual Corporate OfficerSecretary, Interim Feb 19, 2022
Randy B Morris Individual Corporate Director Jul 1, 2023
Tracy Moyer-Swinko Individual Corporate DirectorDirector Aug 26, 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 16

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

View all 16

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 49

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 49

Affiliated clinicians 536

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

View all 536

NPI Registry JSON

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

{
    "created_epoch": "1602028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691539200000",
    "number": "1164029658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CRYSTAL A DR",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170339524",
            "telephone_number": "717-531-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 GOOD HOPE ROAD",
            "city": "ENOLA",
            "state": "PA",
            "postal_code": "170251210",
            "telephone_number": "717-981-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Crystal A Dr",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170339524",
            "country_code": "US",
            "telephone_number": "717-531-1159",
            "fax_number": "717-531-0119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PENN STATE HEALTH HAMPDEN MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PENN STATE HEALTH",
        "enumeration_date": "2020-10-07",
        "last_updated": "2023-08-09",
        "certification_date": "2023-08-09",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "PRESIDENT, INTERIM",
        "authorized_official_telephone_number": "717-531-0003"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103962850-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enola, PA

Sources for this page

Verify at the official NPI Registry.