NPIMap

Organization Active NPI

The Gettysburg Hospital

  • Ambulatory Surgical Clinic/Center
  • Gettysburg, PA
National Provider Identifier
1184882011
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
01300100 Issued in PA
Legal business name
THE GETTYSBURG HOSPITAL
Practice address
147 Gettys St
Gettysburg, PA 17325-2534
Phone
(717) 334-2121
NPI assigned
May 28, 2008
Organization subpart
Yes
Parent organization
THE GETTYSBURG HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Authorized official

Name
Michael Cogliano
Title
VP & Presisdent, Gettysburg Hospita
Phone
(717) 338-3246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 01300100 PA Primary

Addresses

Primary practice location

147 Gettys St
Gettysburg, PA 17325-2534

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
100759018MedicaidPA

Other names 1

  • WellSpan Gettysburg Hospital SPU 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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080605000117 PA Part A Provider - Hospital 2769373331 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Hanover, PA; Gettysburg, PA; Aspers, PA; Fairfield, PA

Hospital certification: CCN 390065

Legal name
THE GETTYSBURG HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Sep 28, 2023
Beds
76 (68 certified)
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Mar 25, 1919 in PA
Enrollment address
147 Gettys St
Gettysburg, PA 17325-2534
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Gettysburg HospitalCCN 390065
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
Tax ID family
Herrs Ridge Family Prac3 organizations share this tax ID, including this one
Part of
Herrs Ridge Family Prac

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4910 Fairfield Rd
Fairfield, PA 17320
Phone (717) 339-3175

4910 Fairfield Rd
Ste D
Fairfield, PA 17320
Phone (717) 339-3175

450 S Washington St
Ste 22
Gettysburg, PA 17325
Phone (717) 339-2326

455 S Washington St
Gettysburg, PA 17325
Phone (717) 334-1800

1142 York Rd
Box 3786
Gettysburg, PA 17325

Ownership & related parties

All disclosed owners & managing parties 17

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
Edward J Mackle Individual Corporate DirectorBoard Member Nov 28, 2012
Horace F Martin Individual Corporate DirectorBoard Member Jan 1, 2021
David a Doud Individual Corporate DirectorBoard Member Nov 19, 2015
Michael Cogliano Individual Corporate OfficerVP Operations Sep 30, 2020
W-2 Managing EmployeeVP Operations Sep 30, 2020
Edward T Schuurman Individual Corporate Director Jan 1, 2023
Lissa Hinckle Individual Corporate Director Jan 1, 2025
Julianne Craig Individual Corporate Director Jan 11, 2022
Michael B Seim Individual Corporate DirectorBoard Member Jan 1, 2021
David Lovett Individual Corporate Director Jan 1, 2022
Patricia Green-Rodgers Individual Corporate Director Jan 11, 2022
Cheryl Plummer Individual Corporate DirectorChair Jan 1, 2021
Monica Mata Campos Individual Corporate Director Jan 1, 2024
Roy Happel Individual Corporate Director Jan 1, 2023
Wellspan Health Organization, York, PA Non-profit, Chain home office Operational/Managerial Control Jan 1, 1999
Other Jan 1, 1999
Stephen J Holoviak Individual Corporate DirectorBoard Member Jan 1, 2021
Denis Onieal Individual Corporate DirectorMember Nov 1, 2018

Owners & managing parties with NPI records 4

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

Practitioners & affiliated clinicians

Practitioners 160

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

View all 160

Affiliated clinicians 1,067

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

View all 1,067

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1184882011",
    "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",
            "fax_number": "717-851-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 GETTYS ST",
            "city": "GETTYSBURG",
            "state": "PA",
            "postal_code": "173252534",
            "telephone_number": "717-334-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GETTYSBURG HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE GETTYSBURG HOSPITAL",
        "enumeration_date": "2008-05-28",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "COGLIANO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VP & PRESISDENT, GETTYSBURG HOSPITA",
        "authorized_official_telephone_number": "717-338-3246"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "PA",
            "license": "01300100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100759018",
            "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 Gettysburg Hospital SPU",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gettysburg, PA

Sources for this page

Verify at the official NPI Registry.