NPIMap

Organization Active NPI

Evangelical Community Hospital

  • Ambulatory Surgical Clinic/Center
  • Lewisburg, PA
National Provider Identifier
1255829347
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
EVANGELICAL COMMUNITY HOSPITAL
Practice address
90 Medical Park Dr
Lewisburg, PA 17837-6343
Phone
(570) 524-1213
Fax
(570) 524-0362
NPI assigned
Apr 25, 2018
Organization subpart
Yes
Parent organization
EVANGELICAL COMMUNITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Authorized official

Name
Allen Fasnacht
Title
VP and President
Phone
(570) 522-2602

Specialties & licenses 1

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

Addresses

Primary practice location

90 Medical Park Dr
Lewisburg, PA 17837-6343

Mailing address

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

Other names 1

  • Evangelical Community Hospital Endoscopy Center Other name

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
O20181231001405 PA Part B Supplier - Ambulatory Surgical Center 5496641086 Practice locations: Lewisburg, PA

Other NPIs with the same Medicare PAC ID 3

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

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Evangelical Community Hospital Endoscopy CenterCCN 39C0001222
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Evangelical Comm Hosp L7 organizations share this tax ID, including this one
Part of
Evangelical Comm Hosp L

Other organizations with this tax ID 6

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

Locations

1 Hospital Dr
Ste 100
Lewisburg, PA 17837
Phone (570) 524-5452

112 N 15th St
#2000
Lewisburg, PA 17837
Phone (570) 522-0660

1 Hospital Dr
#M
Lewisburg, PA 17837
Phone (570) 522-4200

235 Hospital Dr
Lewisburg, PA 17837
Phone (570) 522-2550

7485 Westbranch Hwy
Lewisburg, PA 17837
Phone (570) 768-4610

101 Meadow Green Dr
Mifflinburg, PA 17844
Phone (570) 966-1122

191 Roosevelt Ave
Ste 3000
Selinsgrove, PA 17870
Phone (570) 374-4411

21 Susquehanna Valley Mall Dr
Ste E
Selinsgrove, PA 17870
Phone (570) 884-3600

435 River Ave
Ste 1
Williamsport, PA 17701
Phone (570) 974-2670

Practitioners & affiliated clinicians

Practitioners 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1255829347",
    "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": "90 MEDICAL PARK DR",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178376343",
            "telephone_number": "570-524-1213",
            "fax_number": "570-524-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANGELICAL COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EVANGELICAL COMMUNITY HOSPITAL",
        "enumeration_date": "2018-04-25",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "FASNACHT",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "VP AND PRESIDENT",
        "authorized_official_telephone_number": "570-522-2602"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 esDM eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "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": "Evangelical Community Hospital Endoscopy Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Evangelical Community Hospital Endoscopy Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lewisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.