NPIMap

Organization Active NPI

The Chambersburg Hospital

Doing business as WellSpan Chambersburg Hospital

  • Clinic/Center
  • Chambersburg, PA
National Provider Identifier
1215060157
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
THE CHAMBERSBURG HOSPITAL
Doing business as
WellSpan Chambersburg Hospital
Practice address
176 S Coldbrook Ave
Psychiatric Unit Outpatient
Chambersburg, PA 17201-2714
Phone
(717) 267-7480
NPI assigned
Mar 13, 2007
Last updated
Mar 3, 2025By the provider in NPPES
Organization subpart
No

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
Laura Buczkowski
Title
Sr VP and Cfo
Phone
(410) 442-3373

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
General Acute Care Hospital 282N00000X 3000040 PA

Addresses

Primary practice location

176 S Coldbrook Ave
Psychiatric Unit Outpatient
Chambersburg, PA 17201-2714

Mailing address

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

Other names 1

  • WellSpan Chambersburg Hospital 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 PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040420001214 PA Part B Supplier - Clinic/Group Practice 5496748303 Receives reassigned benefits from 31 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chambersburg, PA
O20071210000579 PA Part A Provider - Hospital 5496748303 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Shippensburg, PA; Chambersburg, PA; Mercersburg, PA; Greencastle, PA; Fayetteville, PA; Carlisle, PA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1215060157. Details of each certification follow.

Hospital certification: CCN 390151

Legal name
THE CHAMBERSBURG HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Nov 19, 2015
Beds
274
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jan 1, 1904 in PA
Enrollment address
112 N Seventh St
Chambersburg, PA 17201-1720
Hospital subgroups
Acute care

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

Other NPIs on the same Medicare enrollment 4

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Wellspan Chambersburg HospitalCCN 390151 · 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
Tax ID family
Chambersburg General Ho9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

220 Wilson St
Ste 108
Carlisle, PA 17013
Phone (717) 249-1929

12 St Paul Dr
Ste 102
Chambersburg, PA 17201
Phone (717) 217-6746

12 St Paul Dr
Ste 103
Chambersburg, PA 17201
Phone (717) 217-6750

176 S Coldbrook Ave
Unit Outpatient
Chambersburg, PA 17201
Phone (717) 267-7480

22 St Paul Dr
Ste 203
Chambersburg, PA 17201
Phone (717) 217-6988

601 Norland Ave
Ste 110
Chambersburg, PA 17201

755 Norland Ave Ste 203
SMT Cardiology Testing
Chambersburg, PA 17201
Phone (717) 217-6988

757 Norland Ave
Ste 102
Chambersburg, PA 17201
Phone (717) 217-6745

757 Norland Ave
Ste 204
Chambersburg, PA 17201
Phone (717) 217-6813

761 5th Ave
Ste C
Chambersburg, PA 17201
Phone (717) 267-0969

50 Eastern Ave
Ste 141
Greencastle, PA 17225
Phone (717) 217-6882

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
Laura Buczkowski Individual Corporate OfficerSr VP and Cfo Jan 1, 2021
Roxanna L Gapstur Individual Other Jan 2, 2019
Edward J Mackle Individual Corporate DirectorBoard Member Apr 23, 2009
Horace F Martin Individual Corporate DirectorBoard Member Jan 1, 2021
David a Doud Individual Corporate DirectorBoard Member Oct 31, 2015
Edward T Schuurman Individual Corporate OfficerDirector Jan 1, 2023
Corporate DirectorDirector Jan 1, 2023
Lissa Hinckle Individual Corporate DirectorEx Officio (Voting) Jan 1, 2025
W-2 Managing Employee Jul 1, 2025
Julianne Craig Individual Corporate DirectorBoard Member Jan 1, 2022
Michael B Seim Individual Corporate DirectorBoard Member Ex-Officio Jan 1, 2021
David Lovett Individual Corporate DirectorBoard Member Jan 1, 2022
Patricia Green-Rodgers Individual Corporate DirectorBoard Member Jan 1, 2022
Andrew Cochrane Individual Corporate DirectorVP and President Oct 6, 2025
W-2 Managing EmployeeVP and President Oct 6, 2025
Cheryl Plummer Individual Corporate OfficerChair Nov 30, 2011
Corporate DirectorChair Nov 30, 2011
Monica Mata Campos Individual Corporate DirectorBoard Member Jan 1, 2024
Roy Happel Individual Corporate OfficerDirector Jan 1, 2023
Corporate DirectorDirector Jan 1, 2023
Wellspan Health Organization, York, PA Corporation, Non-profit Operational/Managerial Control Nov 1, 2018
Other Nov 1, 2018
Stephen J Holoviak Individual Corporate DirectorBoard Member Nov 30, 2013
Wellspan Summit Health Organization, Chambersburg, PA Corporation, Non-profit Operational/Managerial Control Feb 9, 1995
Other Feb 9, 1995
Denis Onieal Individual Corporate OfficerVice Chair Oct 31, 2018
Corporate DirectorVice Chair Oct 31, 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 39

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 39

Affiliated clinicians 1,068

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

View all 1,068

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1215060157",
    "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": "176 S COLDBROOK AVE",
            "address_2": "PSYCHIATRIC UNIT OUTPATIENT",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172012714",
            "telephone_number": "717-267-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHAMBERSBURG HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "BUCZKOWSKI",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "SR VP AND CFO",
        "authorized_official_telephone_number": "410-442-3373"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PA",
            "license": "3000040",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Chambersburg Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chambersburg, PA

Sources for this page

Verify at the official NPI Registry.