NPIMap

Organization Active NPI

Millcreek Community Hospital

  • Psychiatric Hospital Unit
  • Erie, PA
National Provider Identifier
1205832334
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
MILLCREEK COMMUNITY HOSPITAL
Practice address
5515 Peach St
Erie, PA 16509-2603
Phone
(814) 864-4031
Fax
(814) 868-7770
NPI assigned
Jun 23, 2005
Last updated
May 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Authorized official

Name
Steven Gregory Inman
Title
VP of Financial Affairs
Phone
(814) 868-8258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X PA Primary

Addresses

Primary practice location

5515 Peach St
Erie, PA 16509-2603

Mailing address

5515 Peach St
Erie, PA 16509-2603
Phone (814) 864-4031

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091030000432 PA Part A Provider - Hospital 8426020173 Practice locations: Erie, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205832334. Details of each certification follow.

Hospital certification: CCN 39S198

Legal name
MILLCREEK COMMUNITY HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
May 20, 1948 in PA
Enrollment address
5515 Peach St
Erie, PA 16509-2603
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

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

Other NPIs with the same Medicare PAC ID 23

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

View all 23

National Provider Directory

National Provider Directory
Tax ID family
Southeast Med Ctr Millc34 organizations share this tax ID, including this one

Other organizations with this tax ID 33

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

View all 33

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
John M Ferretti Individual Other Jan 1, 2020
William F McCarthy Individual Other Jan 1, 2020
Seth Hintze Carter Individual Other Jan 1, 2025
Silvia M Ferretti Individual Other Jan 1, 2020
James Yi Lin Individual Other Jan 1, 2025
Marcus Babiak Individual W-2 Managing EmployeeCoo Jan 1, 2025
Danielle Marie Hansen Individual Other Jul 1, 2022
Robert George Individual Other Jan 1, 2020
David Rubino Individual Other Jan 1, 2020
Mary L Eckert Individual Other Jan 1, 2025
Nancy Z Oneill Individual Other Jan 1, 2020
Dale P Sparber Individual Other Jan 1, 2020

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 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1205832334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5515 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165092603",
            "telephone_number": "814-864-4031",
            "fax_number": "814-868-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5515 PEACH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165092603",
            "telephone_number": "814-864-4031",
            "fax_number": "814-868-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLCREEK COMMUNITY HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "INMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "VP OF FINANCIAL AFFAIRS",
        "authorized_official_telephone_number": "814-868-8258"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.