Organization Active NPI

Penn State Health Holy Spirit Medical Center

  • Community/Behavioral Health Agency
  • Camp Hill, PA
National Provider Identifier
1194097493
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
931140 Issued in PA
Legal business name
PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER
Practice address
503 N 21St St
Camp Hill, PA 17011-2204
Phone
(717) 763-2222
Fax
(717) 763-3040
NPI assigned
Feb 1, 2012
Last updated
Feb 10, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Authorized official

Name
Dr. Donald McKenna
Title
President
Phone
(717) 763-2100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU
Community/Behavioral Health Agency 251S00000X 931140 PA Primary

Addresses

Primary practice location

503 N 21St St
Camp Hill, PA 17011-2204

Mailing address

503 N 21St St
Camp Hill, PA 17011-2204
Phone (717) 763-2222

Other identifiers 2

IdentifierTypeStateIssuer
1007718810100MedicaidPA
1007718810058MedicaidPA

Other names 1

  • Holy Spirit Crisis Intervention Other name

National Provider Directory

National Provider Directory
Tax ID family
Dillsburg HLTH Ctr14 organizations share this tax ID, including this one
Part of
Dillsburg HLTH Ctr

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1328054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1194097493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 N 21ST ST",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112204",
            "telephone_number": "717-763-2222",
            "fax_number": "717-763-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 N 21ST ST",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170112204",
            "telephone_number": "717-763-2222",
            "fax_number": "717-763-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENN STATE HEALTH HOLY SPIRIT MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PENN  STATE HEALTH HOLY SPIRIT MEDICAL CENTER",
        "enumeration_date": "2012-02-01",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "MCKENNA",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-763-2100",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "931140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007718810100",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007718810058",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holy Spirit Crisis Intervention",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Camp Hill, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.