NPIMap

Organization Active NPI

Pennsylvania Health & Wellness, Inc.

  • Health Maintenance Organization
  • Camp Hill, PA
National Provider Identifier
1235664293
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
PENNSYLVANIA HEALTH & WELLNESS, INC.
Practice address
300 Corporate Center Dr
Camp Hill, PA 17011-1744
Phone
(717) 551-8000
NPI assigned
Apr 27, 2017
Organization subpart
Yes
Parent organization
CENTENE CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Authorized official

Name
Eric Lisle
Title
President
Phone
(717) 551-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X PA Primary

Addresses

Primary practice location

300 Corporate Center Dr
Camp Hill, PA 17011-1744

Mailing address

300 Corporate Center Dr
Camp Hill, PA 17011-1744
Phone (717) 551-8000

National Provider Directory

National Provider Directory

Locations

300 Corporate Center Dr
Camp Hill, PA 17011
Phone (717) 551-8000

NPI Registry JSON

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1235664293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CORPORATE CENTER DR",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170111744",
            "telephone_number": "717-551-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CORPORATE CENTER DR",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170111744",
            "telephone_number": "717-551-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA HEALTH & WELLNESS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTENE CORPORATION",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "LISLE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "717-551-8000"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 27, 2017; 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.